Tracy Mindiola, RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

4379 Issued in MN

Practice address

12488 74TH Ave N
Maple Grove, MN 55369-5285

Phone

(763) 267-2015

NPI assigned

Jul 8, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN, TX2 enrollments

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Famelia, Inc.

  • Registered Dietitian
  • Minneapolis, MN
  • NPI 1013892801

  Dietitian, Registered

  Medicare reassignment NPD
• Nourish, Inc.

  • Registered Dietitian
  • Austin, TX
  • NPI 1558097824

  Dietitian, Registered

  Medicare reassignment NPD
• Fay Nutrition

  • Registered Dietitian
  • San Francisco, CA
  • NPI 1104334465

  Dietitian, Registered

  NPD (past)
• Keepcare LLC

  • Registered Dietitian
  • Austin, TX
  • NPI 1508628819

  Dietitian, Registered

  NPD (past)
• Marjorie Nolan Cohn LLC

  • Registered Dietitian
  • New York, NY
  • NPI 1760825160

  Dietitian, Registered

  NPD (past)

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

{
    "created_epoch": "1657238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694476800000",
    "number": "1457084154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12488 74TH AVE N",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553695285",
            "telephone_number": "763-267-2015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12488 74TH AVE N",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553695285",
            "telephone_number": "763-267-2015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINDIOLA",
        "first_name": "TRACY",
        "name_prefix": "Mrs.",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-08",
        "last_updated": "2023-09-12",
        "certification_date": "2023-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MN",
            "license": "4379",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Milestone Behavioral Health
• Camelia Miller
• Rachel Dawn Miller, PA-C
• Natasha Marie Mills
• Julie Ann Milnler
• Minnesota Bone and Joint Specialists, LTD
• Minnesota Counseling and Couples Center LLC
• Minnesota Dental Professionals, P.C.
• Minnesota Dental Professionals, P.C.
• Minnesota Diagnostic Imaging Partners, LLC

• Registered Dietitian in Maple Grove, MN
• Providers in Maple Grove, MN by specialty
• Registered Dietitian in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.