IndividualActive
Andrea Miller, R.D., L.D.
NPI 1063796365 · Registered Dietitian · Archbold, OH
Provider details
- NPI number
- 1063796365
- Entity type
- Individual
- Primary specialty
- Registered DietitianDietary & Nutritional Service Providers
- Credential
- R.D., L.D.
- Sex
- Female
- Sole proprietor
- No
- License
- LD.6803 (OH)
Specialties & taxonomies
Dietary & Nutritional Service Providers
Profile Score
Detailed profile(81/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
121 Westfield Dr Ste 1
Archbold, OH 43502-1005
Phone: (419) 445-2015
Fax: (419) 445-8102
Street-level locationGet directions
Mailing address
11109 Parkview Plaza Dr # 117
Fort Wayne, IN 46845-1701
Registry dates
- Enumerated
- 2011-10-05
- Last updated
- 2026-05-12
- Certified
- 2026-05-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.