MILES EDWARD EVERETT, R.D., R.N. — NPI 1316134992 (Licensed & Credentialed Nutritionist, Nutrition, Education in WATERBURY, CT)

CMS-1500 Box 24J / 33a • NPI

1316134992

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

133NN1002X

Licensed & Credentialed Nutritionist, Nutrition, Education

Box 32 Service Location & ZIP+4

80 PHOENIX AVE, WATERBURY, CT, 06702-1418

✓ 9-Digit EDI 837 ZIP+4 (06702-1418)

Practice Phone & Referral Fax

(203) 756-8021

Direct NPPES Verification Line

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1316134992 (MILES EDWARD EVERETT, R.D., R.N.) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1316134992` (NPI-1 Individual Practitioner)
Provider / Legal Name	MILES EDWARD EVERETT, R.D., R.N.
Plain-English Specialty	Licensed & Credentialed Nutritionist, Nutrition, Education NUCC Code: `133NN1002X` (Nutritionist, Nutrition, Education)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	80 PHOENIX AVE, WATERBURY, CT, 06702-1418
Practice Telephone / Fax	Tel: (203) 756-8021
Administrative Mailing Address	561 HICKORY HILL RD, THOMASTON, CT, 06787-1022
Enumeration & Last Sync	Enumerated: 2007-09-27 \| CMS Record Updated: 2007-11-13

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

80 PHOENIX AVE, WATERBURY, CT, 06702-1418

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Plain-English Taxonomy & CMS Crosswalk (133NN1002X)

What Does Taxonomy Code 133NN1002X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 133NN1002X translates to:
"Licensed & Credentialed Nutritionist, Nutrition, Education"

CMS-1500 Medicare Specialty Crosswalk: Standard HIPAA X12N 837P / CMS-1500
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Nutritionist, Nutrition, Education for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (MILES EDWARD EVERETT, R.D., R.N.)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`133NN1002X` — Nutritionist, Nutrition, Education Plain English: Licensed & Credentialed Nutritionist, Nutrition, Education	State: CT \| License: `000825` \| Primary: Yes (Primary)
`163WD0400X` — Registered Nurse, Diabetes Educator Plain English: Licensed & Credentialed Registered Nurse, Diabetes Educator	State: CT \| License: `082032` \| Primary: Secondary

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MILES EDWARD EVERETT, R.D., R.N. (NPI #1316134992)