NPIMap

Organization Active NPI

Mindful Wellness and Nutrition LLC.

  • Corporate Health Clinic/Center
  • Scottsdale, AZ
National Provider Identifier
1407433535
Registry record updated Mar 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Corporate Health Clinic/CenterTaxonomy code 261QC1800X
Legal business name
MINDFUL WELLNESS AND NUTRITION LLC.
Practice address
8452 E San Bernardo Dr
Scottsdale, AZ 85258-2441
Phone
(480) 675-4568
Fax
(480) 907-1963
NPI assigned
Mar 25, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2021

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

Authorized official

Name
Ms. Lisa R Schmidt, CNNPI 1871932012
Title
Owner
Phone
(480) 675-4568

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Corporate Health Clinic/Center 261QC1800X Primary
Health Service Clinic/Center 261QH0100X

Addresses

Primary practice location

8452 E San Bernardo Dr
Scottsdale, AZ 85258-2441

Mailing address

PO Box 5930
Scottsdale, AZ 85261-5930
Phone (480) 675-4568

Other names 1

  • My Mindful Nutritionist Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1616630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616976000000",
    "number": "1407433535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5930",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852615930",
            "telephone_number": "480-675-4568",
            "fax_number": "480-907-1963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8452 E SAN BERNARDO DR",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852582441",
            "telephone_number": "480-675-4568",
            "fax_number": "480-907-1963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDFUL WELLNESS AND NUTRITION LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-25",
        "last_updated": "2021-03-29",
        "certification_date": "2021-03-29",
        "status": "A",
        "authorized_official_last_name": "SCHMIDT",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-675-4568",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CN"
    },
    "taxonomies": [
        {
            "code": "261QC1800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Corporate Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "My Mindful Nutritionist",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "My Mindful Nutritionist",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2021; 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.