Tori Onita Mincemeyer, RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Practice address

2630 Old Orchard Rd
Jackson, MO 63755-3824

Phone

(573) 517-8556

NPI assigned

Nov 15, 2019

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Miss Tori Onita Winter Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1573776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573776000000",
    "number": "1053956847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1615 BESSIE ST",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637015201",
            "telephone_number": "573-517-8556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2630 OLD ORCHARD RD",
            "city": "JACKSON",
            "state": "MO",
            "postal_code": "637553824",
            "telephone_number": "573-517-8556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINCEMEYER",
        "first_name": "TORI",
        "middle_name": "ONITA",
        "name_prefix": "Mrs.",
        "credential": "RD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-11-15",
        "last_updated": "2019-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://tori-mincemeyer.clientsecure.me/home",
            "affiliation": "N",
            "endpointDescription": "Client Portal",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Charting program that practitioners can send me information through",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Not sure",
            "address_1": "2630 Old Orchard Rd",
            "city": "Jackson",
            "state": "MO",
            "country_code": "US",
            "postal_code": "637553824",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "TORI",
            "last_name": "WINTER",
            "middle_name": "ONITA",
            "prefix": "MISS",
            "credential": "RD, LD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Bryn Elizabeth Meyr
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• Registered Dietitian in Jackson, MO
• Providers in Jackson, MO by specialty
• Registered Dietitian in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.