Mindful Eating Dietitian

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Legal business name

MINDFUL EATING DIETITIAN

Practice address

6817 Southpoint Pkwy Ste 1904
Jacksonville, FL 32216-6299

Phone

(904) 656-1299

NPI assigned

Feb 9, 2023

Last updated

Feb 9, 2023By 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

Macie Thornhill, RDN, LDNNPI 1730702010

Title

Owner

Phone

(904) 656-1297

Specialties & licenses 1

Addresses

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.

• Macie Lynn Thornhill, RD

  • Registered Dietitian
  • Jacksonville, FL
  • NPI 1730702010
  Authorized official Same address or phone

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

{
    "created_epoch": "1675900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675900800000",
    "number": "1316644412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6817 SOUTHPOINT PKWY STE 1904",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322166299",
            "telephone_number": "904-656-1299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6817 SOUTHPOINT PKWY STE 1904",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322166299",
            "telephone_number": "904-656-1299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDFUL EATING DIETITIAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-09",
        "last_updated": "2023-02-09",
        "certification_date": "2023-02-09",
        "status": "A",
        "authorized_official_last_name": "THORNHILL",
        "authorized_official_first_name": "MACIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-656-1297",
        "authorized_official_credential": "RDN, LDN"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Markevia Mincey
• Sherry Mincey, MCAP
• Zilandra Carlisha-Shontaye Mincey, LPN
• Mind Matters Psychiatry LLC
• Mindful Culinary Therapy, LLC
• Mindful Freedom Psychological Services Corp
• Mindful Medicine Counseling Center LLC
• Mindful Soul Counseling LLC
• Mindfully, LLC
• Mindme LLC

• Registered Dietitian in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Registered Dietitian in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 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.