NPIMap

Organization Active NPI

Mindful Nourishment LLC

  • Registered Dietitian
  • Waldorf, MD
National Provider Identifier
1447911250
Registry record updated Jan 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Legal business name
MINDFUL NOURISHMENT LLC
Practice address
2510 Green Pine CT
Waldorf, MD 20601-3050
Phone
(570) 875-7653
NPI assigned
Jan 4, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2022

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

Authorized official

Name
Mrs. Frances Ritinski Clark, RDN, CSR, LDN
Title
Registered Dietitian
Phone
(570) 875-7653

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 133V00000X Primary
Renal Nutrition Registered DietitianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 133VN1005X

Addresses

Primary practice location

2510 Green Pine CT
Waldorf, MD 20601-3050

Mailing address

2510 Green Pine CT
Waldorf, MD 20601-3050
Phone (570) 875-7653

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1641254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641254400000",
    "number": "1447911250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2510 GREEN PINE CT",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206013050",
            "telephone_number": "570-875-7653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2510 GREEN PINE CT",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206013050",
            "telephone_number": "570-875-7653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDFUL NOURISHMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-04",
        "last_updated": "2022-01-04",
        "certification_date": "2022-01-04",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "FRANCES",
        "authorized_official_middle_name": "RITINSKI",
        "authorized_official_title_or_position": "REGISTERED DIETITIAN",
        "authorized_official_telephone_number": "570-875-7653",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RDN, CSR, LDN"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "133VN1005X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dietitian, Registered, Nutrition, Renal",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waldorf, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2022; 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.