Organization Active NPI

Mindful Eater LLC

  • Health Maintenance Organization
  • Pittsburgh, PA
National Provider Identifier
1750825774
Registry record updated Dec 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
License
DN005561 Issued in PA
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

Updated by the provider on Dec 9, 2016

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1000727897OtherPASTATE OF PENNSYLVANIA DEPARTMENT OF REVENUE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250915000690 PA Part B Supplier - Clinic/Group Practice 9931602984 Receives reassigned benefits from 1 practitioner
Practice locations: Pittsburgh, PA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

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.

Verify at the official NPI Registry.