Mindfuel Nutrition

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Legal business name

MINDFUEL NUTRITION

Practice address

2B S Washington St
Oxford, MI 48371-4971

Phone

(248) 834-0614

NPI assigned

Nov 4, 2024

Organization subpart

No

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

Authorized official

Name

Hannah Disbrow, RDNNPI 1477234425

Title

Dietitian

Phone

(586) 206-5981

Specialties & licenses 1

Addresses

Practitioners 1

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

• Hannah Disbrow, RDN

  • Registered Dietitian
  • Bloomfield Hills, MI
  • NPI 1477234425

  Dietitian, Registered

  NPD Authorized official

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

{
    "created_epoch": "1730678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730678400000",
    "number": "1508689142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "53218 MICHAEL DR",
            "city": "CHESTERFIELD",
            "state": "MI",
            "postal_code": "480476117",
            "telephone_number": "586-206-5981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2B S WASHINGTON ST",
            "city": "OXFORD",
            "state": "MI",
            "postal_code": "483714971",
            "telephone_number": "248-834-0614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDFUEL NUTRITION",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-04",
        "last_updated": "2024-11-04",
        "certification_date": "2024-11-03",
        "status": "A",
        "authorized_official_last_name": "DISBROW",
        "authorized_official_first_name": "HANNAH",
        "authorized_official_title_or_position": "DIETITIAN",
        "authorized_official_telephone_number": "586-206-5981",
        "authorized_official_credential": "RDN"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaitlyn Miller, MSW
• McKenzie Miller, PA-C
• Sheila A Miller
• Katelyn Mills
• Matthew Milz
• Rachal Marie Mittleman, M.D.
• Mobicare, LLC
• Lija Turaida Moncrieff-Austin, FNP-C
• Aaron Matthew Moore, LMT
• Amy Lynn Moore, LPC

• Registered Dietitian in Oxford, MI
• Providers in Oxford, MI by specialty
• Registered Dietitian in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2024; 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.