Allison Adele Reynolds, RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

86083668

Practice address

17900 Isle Ave
Lakeville, MN 55044-9652

Phone

(507) 200-2064

NPI assigned

Feb 27, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Mindful Mama Nutrition

  • Clinic/Center
  • Lakeville, MN
  • NPI 1013799626
  NPD Authorized official

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

{
    "created_epoch": "1519689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697587200000",
    "number": "1265933089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17900 ISLE AVE",
            "city": "LAKEVILLE",
            "state": "MN",
            "postal_code": "550449652",
            "telephone_number": "612-308-1351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17900 ISLE AVE",
            "city": "LAKEVILLE",
            "state": "MN",
            "postal_code": "550449652",
            "telephone_number": "507-200-2064"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "900 Round Valley Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Park City",
            "state": "UT",
            "postal_code": "840607552",
            "country_code": "US",
            "telephone_number": "435-658-7120",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5848 S Fashion Blvd",
            "address_purpose": "LOCATION",
            "city": "Murray",
            "state": "UT",
            "postal_code": "841076157",
            "country_code": "US",
            "telephone_number": "801-314-4955",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REYNOLDS",
        "first_name": "ALLISON",
        "middle_name": "ADELE",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-27",
        "last_updated": "2023-10-18",
        "certification_date": "2023-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": "86083668",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kali Jade Rencountre
• Jonah Mitchell Resnick, O.D.
• Restwell Mattress Company
• Revive Health Medical Weight Loss & Wellness
• Alexander David Reynolds
• Teresa Rhone, O.D.
• Alexandra R Riley, DNP
• Rivers Edge Dental Clinic, PLLC
• RN Homecare Services LLC
• Gregory Alan Roberts, DC

• Registered Dietitian in Lakeville, MN
• Providers in Lakeville, MN by specialty
• Registered Dietitian in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 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.

Verify at the official NPI Registry.