Active NPI
Mindful Living LLC
- Occupational Therapist
- Sioux City, IA
National Provider Identifier
1912520404
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- Legal business name
- MINDFUL LIVING LLC
- Practice address
- 5114 Bushnell Ave
Sioux City, IA 51106-3737 - Phone
- (605) 691-5093
- NPI assigned
- May 19, 2020
- 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
- Mrs. Robyn Mellang
- Title
- Owner
- Phone
- (605) 691-5093
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | Primary |
Addresses
Primary practice location
5114 Bushnell Ave
Sioux City, IA 51106-3737
Mailing address
5114 Bushnell Ave
Sioux City, IA 51106-3737
Phone (605) 691-5093
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SD, IA
Enrollment records 2
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1589846400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1591833600000",
"number": "1912520404",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5114 BUSHNELL AVE",
"city": "SIOUX CITY",
"state": "IA",
"postal_code": "511063737",
"telephone_number": "605-691-5093"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5114 BUSHNELL AVE",
"city": "SIOUX CITY",
"state": "IA",
"postal_code": "511063737",
"telephone_number": "605-691-5093"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MINDFUL LIVING LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-05-19",
"last_updated": "2020-06-11",
"certification_date": "2020-06-11",
"status": "A",
"authorized_official_last_name": "MELLANG",
"authorized_official_first_name": "ROBYN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "605-691-5093",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Occupational Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sioux City, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2020; 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.