Active NPI
Mindful Family Wellness, LLC
- Nutritionist
- Mooresville, NC
National Provider Identifier
1922788314
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutritionist
- Legal business name
- MINDFUL FAMILY WELLNESS, LLC
- Practice address
- 500 S Main St Ste 113
Mooresville, NC 28115-3228 - Phone
- (704) 775-9300
- NPI assigned
- Jul 20, 2023
- Last updated
- Jul 20, 2023
- 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
- Rebecca Duerr, LN, CNS
- Title
- Owner
- Phone
- (704) 775-9300
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutritionist | 133N00000X | Primary | ||
| Doula | 374J00000X |
Addresses
Primary practice location
500 S Main St Ste 113
Mooresville, NC 28115-3228
Mailing address
595 Beaten Path Rd
Mooresville, NC 28117-8982
Phone (704) 775-9300
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, and the practitioner matching its NPPES authorized official.
-
- Nutritionist
- Mooresville, NC
- NPI 1235658733
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1689811200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1689811200000",
"number": "1922788314",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "595 BEATEN PATH RD",
"city": "MOORESVILLE",
"state": "NC",
"postal_code": "281178982",
"telephone_number": "704-775-9300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 S MAIN ST STE 113",
"city": "MOORESVILLE",
"state": "NC",
"postal_code": "281153228",
"telephone_number": "704-775-9300"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MINDFUL FAMILY WELLNESS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-07-20",
"last_updated": "2023-07-20",
"certification_date": "2023-07-20",
"status": "A",
"authorized_official_last_name": "DUERR",
"authorized_official_first_name": "REBECCA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "704-775-9300",
"authorized_official_credential": "LN, CNS"
},
"taxonomies": [
{
"code": "133N00000X",
"taxonomy_group": "",
"desc": "Nutritionist",
"state": null,
"license": null,
"primary": true
},
{
"code": "374J00000X",
"taxonomy_group": "",
"desc": "Doula",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mooresville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.