Mindfull Newtrition LLC

Primary specialty

Meals ProviderTaxonomy code 174200000X

Legal business name

MINDFULL NEWTRITION LLC

Practice address

82 Ewing Dr
Reisterstown, MD 21136-3639

Phone

(800) 671-8193

NPI assigned

Dec 13, 2022

Last updated

Dec 13, 2022By 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

Monet Duckett, CFNCNPI 1225847114

Title

Owner

Phone

(800) 671-8193

Specialties & licenses 1

Addresses

Electronic endpoints 6

Tax ID family

Mindfull Newtrition LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Mindfull Newtrition LLC

  • Doula
  • Reisterstown, MD
  • NPI 1457161358
  NPD tax ID

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.

• Monet Duckett

  • Doula
  • Reisterstown, MD
  • NPI 1225847114
  NPD Authorized official

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

{
    "created_epoch": "1670889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670889600000",
    "number": "1194436915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "82 EWING DR",
            "city": "REISTERSTOWN",
            "state": "MD",
            "postal_code": "211363639",
            "telephone_number": "800-671-8193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "82 EWING DR",
            "city": "REISTERSTOWN",
            "state": "MD",
            "postal_code": "211363639",
            "telephone_number": "800-671-8193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDFULL NEWTRITION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-13",
        "last_updated": "2022-12-13",
        "certification_date": "2022-12-09",
        "status": "A",
        "authorized_official_last_name": "DUCKETT",
        "authorized_official_first_name": "MONET",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "800-671-8193",
        "authorized_official_credential": "CFNC"
    },
    "taxonomies": [
        {
            "code": "174200000X",
            "taxonomy_group": "",
            "desc": "Meals",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.ringcentral.com",
            "affiliation": "N",
            "address_1": "539 W Commerce St # 3844",
            "city": "Dallas",
            "state": "TX",
            "country_code": "US",
            "postal_code": "752081953",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.ringcentral.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "www.ringcentral.com",
            "address_1": "539 W Commerce St # 3844",
            "city": "Dallas",
            "state": "TX",
            "country_code": "US",
            "postal_code": "752081953",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.ringcentral.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "www.ringcentral.com",
            "address_1": "539 W Commerce St # 3844",
            "city": "Dallas",
            "state": "TX",
            "country_code": "US",
            "postal_code": "752081953",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.ringcentral.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "www.ringcentral.com",
            "address_1": "539 W Commerce St # 3844",
            "city": "Dallas",
            "state": "TX",
            "country_code": "US",
            "postal_code": "752081953",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.ringcentral.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "www.ringcentral.com",
            "address_1": "539 W Commerce St # 3844",
            "city": "Dallas",
            "state": "TX",
            "country_code": "US",
            "postal_code": "752081953",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.ringcentral.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "www.ringcentral.com",
            "address_1": "539 W Commerce St # 3844",
            "city": "Dallas",
            "state": "TX",
            "country_code": "US",
            "postal_code": "752081953",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Yaneth Millan
• Aharon S Miller, LCPC
• Alexandra Miller, RDN, LDN
• Raymond Miller, MD
• Mind Body and Balance
• Mindfull Newtrition LLC
• Judah Minkove, M.D.
• Karen L Minor, CRNP
• Mobile Eyewear Services LLC
• Charlotte Elisabeth Modly

• Meals Provider in Reisterstown, MD
• Providers in Reisterstown, MD by specialty
• Meals Provider in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2022; 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.