Organization Active NPI

Mindful Nutrition RDN LLC

  • Registered Dietitian
  • Clearwater, FL
National Provider Identifier
1831066836
Registry record updated Nov 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Legal business name
MINDFUL NUTRITION RDN LLC
Practice address
1901 Ulmerton Rd Ste 625-314C
Clearwater, FL 33762-2300
Phone
(727) 314-5292
NPI assigned
Oct 22, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2025

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

Authorized official

Name
Jessica T SpackmanNPI 1114691110
Title
Owner
Phone
(727) 314-5292

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193200000X MULTI-SPECIALTY GROUP 133V00000X Primary

Addresses

Primary practice location

1901 Ulmerton Rd Ste 625-314C
Clearwater, FL 33762-2300

Mailing address

1901 Ulmerton Rd Ste 625-314C
Clearwater, FL 33762-2300
Phone (727) 314-5292

National Provider Directory

National Provider Directory

Locations

1901 Ulmerton Rd
Ste 625314C
Clearwater, FL 33762
Phone (727) 314-5292

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": "1761091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762646400000",
    "number": "1831066836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 ULMERTON RD STE 625-314C",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337622300",
            "telephone_number": "727-314-5292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 ULMERTON RD STE 625-314C",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337622300",
            "telephone_number": "727-314-5292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDFUL NUTRITION RDN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-22",
        "last_updated": "2025-11-09",
        "certification_date": "2025-11-09",
        "status": "A",
        "authorized_official_last_name": "SPACKMAN",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "727-314-5292"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clearwater, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2025; 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.