Mindful Medicine, PLLC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

39006 Issued in KY

Legal business name

MINDFUL MEDICINE, PLLC

Practice address

2134 Nicholasville Rd
Suite 12
Lexington, KY 40503-2521

Phone

(859) 687-6070

Fax

(859) 687-6071

NPI assigned

May 27, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Debora G Tallio, MDNPI 1134134794

Title

Owner

Phone

(859) 687-6070

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/20163/brand/1/csg/1/fhir/r4

Practitioners 1

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

• Debora Gail Tallio, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Lexington, KY
  • NPI 1134134794
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1432684800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432684800000",
    "number": "1609255363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2134 NICHOLASVILLE RD",
            "address_2": "SUITE 12",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405032521",
            "telephone_number": "859-687-6070",
            "fax_number": "859-687-6071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2134 NICHOLASVILLE RD",
            "address_2": "SUITE 12",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405032521",
            "telephone_number": "859-687-6070",
            "fax_number": "859-687-6071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDFUL MEDICINE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-27",
        "last_updated": "2015-05-27",
        "status": "A",
        "authorized_official_last_name": "TALLIO",
        "authorized_official_first_name": "DEBORA",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "859-687-6070",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "KY",
            "license": "39006",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Hyun Hong Min, MD
• Eleanor Mina, LMT
• Megan Minch, M.D.
• Mind Growing Counseling
• Mind Haven Behavioral Health Clinic
• Mindful Reflections Therapeutic Services, LLC
• Mindwell Mental Healthcare of Kentucky LLC
• Casey Mingua, APRN
• Jasmine Raye Mingua, APRN
• Sandra Mingua, MSN, FNP-C

• Physical Medicine & Rehabilitation Physician in Lexington, KY
• Providers in Lexington, KY by specialty
• Physical Medicine & Rehabilitation Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2015; 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.