Active NPI
Mindful Eater LLC
- Health Maintenance Organization
- Pittsburgh, PA
National Provider Identifier
1750825774
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Maintenance Organization
- License
- DN005561
- Legal business name
- MINDFUL EATER LLC
- Practice address
- 2 Monastery St
Pittsburgh, PA 15203-1407 - Phone
- (724) 984-3911
- NPI assigned
- Dec 9, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jessica Anne Marshall, RDN, LDN
- Title
- Dietitian
- Phone
- (724) 984-3911
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Maintenance Organization | 302R00000X | DN005561 | PA | Primary |
Addresses
Primary practice location
2 Monastery St
Pittsburgh, PA 15203-1407
Mailing address
2 Monastery St
Pittsburgh, PA 15203-1407
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1000727897 | Other | PA | STATE OF PENNSYLVANIA DEPARTMENT OF REVENUE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Registered Dietitian
- Wexford, PA
- NPI 1124407176
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1481241600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1481241600000",
"number": "1750825774",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 MONASTERY ST",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152031407"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 MONASTERY ST",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152031407",
"telephone_number": "724-984-3911"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MINDFUL EATER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-12-09",
"last_updated": "2016-12-09",
"status": "A",
"authorized_official_last_name": "MARSHALL",
"authorized_official_first_name": "JESSICA",
"authorized_official_middle_name": "ANNE",
"authorized_official_title_or_position": "DIETITIAN",
"authorized_official_telephone_number": "724-984-3911",
"authorized_official_credential": "RDN, LDN"
},
"taxonomies": [
{
"code": "302R00000X",
"taxonomy_group": "",
"desc": "Health Maintenance Organization",
"state": "PA",
"license": "DN005561",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE OF PENNSYLVANIA DEPARTMENT OF REVENUE",
"identifier": "1000727897",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pittsburgh, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2016; 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.