Active NPI
Laura Mittler, MA, RD, LD
- Registered Dietitian
- Saint Louis, MO
National Provider Identifier
1801258116
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 2015022095
- Practice address
- 12818 Tesson Ferry Rd Ste 104
Saint Louis, MO 63128-2945 - Phone
- (314) 843-4848
- NPI assigned
- Mar 25, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 2015022095 | MO | Primary |
Addresses
Primary practice location
12818 Tesson Ferry Rd Ste 104
Saint Louis, MO 63128-2945
Mailing address
9801 Grandview Estates Dr
Saint Louis, MO 63127-0029
Phone (314) 843-4848
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2015022095 | MO | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1458864000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1458864000000",
"number": "1801258116",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9801 GRANDVIEW ESTATES DR",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631270029",
"telephone_number": "314-843-4848"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12818 TESSON FERRY RD STE 104",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631282945",
"telephone_number": "314-843-4848"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MITTLER",
"first_name": "LAURA",
"credential": "MA, RD, LD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-03-25",
"last_updated": "2016-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MO",
"license": "2015022095",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.