Active NPI
Amanda Mindin, RD
- Registered Dietitian
- Milwaukee, WI
National Provider Identifier
1073397410
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Practice address
- 102 N Water St Unit 702
Milwaukee, WI 53202-6059 - Phone
- (414) 975-9622
- NPI assigned
- Aug 24, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | WI | Primary |
Addresses
Primary practice location
102 N Water St Unit 702
Milwaukee, WI 53202-6059
Mailing address
102 N Water St Unit 702
Milwaukee, WI 53202-6059
Other names 1
- Mandy Mindin
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nourish RX, LLC | Dietitian, Registered | Past | Accepting new patients |
Interoperability endpoints
- amanda.mindin.p1@direct.transformweightloss.nextgenshare.com
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1692835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692835200000",
"number": "1073397410",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "102 N WATER ST UNIT 702",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532026059"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "102 N WATER ST UNIT 702",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532026059",
"telephone_number": "414-975-9622"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MINDIN",
"first_name": "AMANDA",
"credential": "RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-08-24",
"last_updated": "2023-08-24",
"certification_date": "2023-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "WI",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MANDY",
"last_name": "MINDIN",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Milwaukee, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.