Mindy Nichols, R.D., C.D.E.

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

86074 Issued in NU

Practice address

1424 Mason St
Sumner, WA 98390-2008

Phone

(253) 394-4383

NPI assigned

Jul 2, 2007

Last updated

Sep 20, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1183334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474329600000",
    "number": "1932306800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1917 N STEELE ST",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984068200",
            "telephone_number": "253-394-4383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1424 MASON ST",
            "city": "SUMNER",
            "state": "WA",
            "postal_code": "983902008",
            "telephone_number": "253-394-4383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICHOLS",
        "first_name": "MINDY",
        "credential": "R.D., C.D.E.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-02",
        "last_updated": "2016-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NU",
            "license": "86074",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Rebecca Ruth Muirhead, PSYD
• Illyne Mutusva
• Navdeep Dhaliwal and Manpreet Dhaliwal DDS PLLC (Complete Dental Care of Sumner)
• Nghi Que Ngo, FNP-C
• Nicholsons Sumner Pharmacy Inc (Sumner Pharmacy)
• Christopher John Nielsen, D.M.D
• Nikolina Petrasevic Nielsen, DMD
• Melissa Marie Noren, LMT
• Kelsey Marie O'Brien, PT, DPT

• Registered Dietitian in Sumner, WA
• Providers in Sumner, WA by specialty
• Registered Dietitian in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 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.

Verify at the official NPI Registry.