Mi Mentoring, LLC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Legal business name

MI MENTORING, LLC

Practice address

2029 38TH St
Highland, IN 46322-1850

Phone

(773) 664-9164

Fax

(844) 618-1425

NPI assigned

Dec 21, 2021

Last updated

Dec 21, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dawn Johnson, RDNPI 1407400070

Title

Owner

Phone

(773) 664-9164

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Dawn Theresa Johnson, MS RD LDN

  • Registered Dietitian
  • Highland, IN
  • NPI 1407400070

  Dietitian, Registered

  NPD Authorized official

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

{
    "created_epoch": "1640044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640044800000",
    "number": "1063172856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2029 38TH ST",
            "city": "HIGHLAND",
            "state": "IN",
            "postal_code": "463221850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2029 38TH ST",
            "city": "HIGHLAND",
            "state": "IN",
            "postal_code": "463221850",
            "telephone_number": "773-664-9164",
            "fax_number": "844-618-1425"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8840 Calumet Ave Ste 101",
            "address_purpose": "LOCATION",
            "city": "Munster",
            "state": "IN",
            "postal_code": "463212546",
            "country_code": "US",
            "telephone_number": "773-664-9164",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "521 E 86th Ave Ste K",
            "address_purpose": "LOCATION",
            "city": "Merrillville",
            "state": "IN",
            "postal_code": "464106236",
            "country_code": "US",
            "telephone_number": "773-664-9164",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MI MENTORING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-21",
        "last_updated": "2021-12-21",
        "certification_date": "2021-12-21",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "DAWN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "773-664-9164",
        "authorized_official_credential": "RD"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Kalix",
            "affiliation": "N",
            "address_1": "2029 38th St",
            "city": "Highland",
            "state": "IN",
            "country_code": "US",
            "postal_code": "463221850",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Registered Dietitian in Highland, IN
• Providers in Highland, IN by specialty
• Registered Dietitian in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2021; 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.