Mind Soma Wellness LLC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Legal business name

MIND SOMA WELLNESS LLC

Practice address

5040 14TH Ave N
St Petersburg, FL 33710-6023

Phone

(813) 803-5996

NPI assigned

Aug 3, 2026

Organization subpart

No

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

Authorized official

Name

Shelby Love, RD, CDCES, IFNCPNPI 1982150314

Title

Owner

Phone

(813) 803-5996

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Shelby Love, RDN, LD, CDCES

  • Registered Dietitian
  • St Petersburg, FL
  • NPI 1982150314

  Dietitian, Registered

  NPD (past) Authorized official

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

{
    "created_epoch": "1785715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785715200000",
    "number": "1740103043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3110 1ST AVE N STE 2M",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337138637",
            "telephone_number": "813-803-5996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5040 14TH AVE N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337106023",
            "telephone_number": "813-803-5996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIND SOMA WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-03",
        "last_updated": "2026-08-03",
        "certification_date": "2026-08-03",
        "status": "A",
        "authorized_official_last_name": "LOVE",
        "authorized_official_first_name": "SHELBY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-803-5996",
        "authorized_official_credential": "RD, CDCES, IFNCP"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mind Body Wellness Group LLC
• Mind Glow Therapy LLC
• Mind Integrative Solutions, LLC
• Mind Mechanic Mental Health Services LLC
• Mind Over Matter Transformation Center LLC
• Mindfuel Mental Health, PLLC
• Mindful Haven
• Mindful Healing, LLC
• Mindful Raices Counseling
• Mindful Ways to Wellness

• Registered Dietitian in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Registered Dietitian in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2026; 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.