Jeannie Therese Mund, MPA CLC RD CDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

002995 Issued in NY

Practice address

19 Schoharie St
Staten Island, NY 10301-4325

Phone

(347) 423-4192

NPI assigned

Feb 20, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Federation Employment and Guidance Service, Inc

  • Developmental Disabilities Clinic/Center
  • New York, NY
  • NPI 1942243084
  NPD (past)

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

{
    "created_epoch": "1203465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203465600000",
    "number": "1356519797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 50273",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103050273",
            "telephone_number": "347-423-4192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 SCHOHARIE ST",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103014325",
            "telephone_number": "347-423-4192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUND",
        "first_name": "JEANNIE",
        "middle_name": "THERESE",
        "credential": "MPA CLC RD CDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-02-20",
        "last_updated": "2008-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NY",
            "license": "002995",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ADA REGISTRATION",
            "identifier": "707184",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lauren Mullins, M.S.ED
• Multigenerational LCSW Services PLLC
• Katherine Alexandra Mulyk, OTR
• Sala Mumuni, LPN
• Olga Munafo
• Princy Mundadan Antony, RN
• Kelly-Ann Leah Mungroo, DO
• John J. Munk, PH.D.
• Foma Munoh Kenne, M.D
• Brenda Louise Munroe, LCSW

• Registered Dietitian in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Registered Dietitian in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2008; 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.