Active NPI
Ellen Sue Mingus, RD LD
- Registered Dietitian
- Marietta, OH
National Provider Identifier
1417140500
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 2668
- Practice address
- 1106 Colegate Dr
Marietta, OH 45750-1323 - Phone
- (740) 568-2046
- NPI assigned
- Aug 22, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 2668 | OH | Primary |
Addresses
Primary practice location
1106 Colegate Dr
Marietta, OH 45750-1323
Mailing address
3 N May Ave
Athens, OH 45701-1817
Phone (740) 591-7926
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2668 | OH | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187740800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1187740800000",
"number": "1417140500",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3 N MAY AVE",
"city": "ATHENS",
"state": "OH",
"postal_code": "457011817",
"telephone_number": "740-591-7926"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1106 COLEGATE DR",
"city": "MARIETTA",
"state": "OH",
"postal_code": "457501323",
"telephone_number": "740-568-2046"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MINGUS",
"first_name": "ELLEN",
"middle_name": "SUE",
"name_prefix": "Ms.",
"credential": "RD LD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-08-22",
"last_updated": "2007-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "OH",
"license": "2668",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Marietta, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.