Individual provider Active NPI

Mollie N Mitchell, RDN, LDN

  • Registered Dietitian
  • Aurora, IL
National Provider Identifier
1851210074
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
164.024004 Issued in IL
Practice address
3076 Sandalwood CT
Aurora, IL 60504-3289
Phone
(630) 870-7974
NPI assigned
Jul 13, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 164.024004 IL Primary

Addresses

Primary practice location

3076 Sandalwood CT
Aurora, IL 60504-3289

Mailing address

3076 Sandalwood CT
Aurora, IL 60504-3289
Phone (630) 870-7974

Other practice location 1

807 Kingsley St
Normal, IL 61761-3473
Phone (630) 870-7974

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)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1783900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1851210074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3076 SANDALWOOD CT",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605043289",
            "telephone_number": "630-870-7974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3076 SANDALWOOD CT",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605043289",
            "telephone_number": "630-870-7974"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "807 Kingsley St",
            "address_purpose": "LOCATION",
            "city": "Normal",
            "state": "IL",
            "postal_code": "617613473",
            "country_code": "US",
            "telephone_number": "630-870-7974",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "MOLLIE",
        "middle_name": "N",
        "credential": "RDN, LDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-07-13",
        "last_updated": "2026-07-13",
        "certification_date": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "IL",
            "license": "164.024004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.