NPIMap

Organization Active NPI

Nourishing Minds Nutrition

  • Nutritionist
  • St Petersburg, FL
National Provider Identifier
1952811077
Registry record updated Oct 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
NutritionistTaxonomy code 133N00000X
Legal business name
NOURISHING MINDS NUTRITION
Practice address
2861 40TH St N
St Petersburg, FL 33713-2240
Phone
(704) 640-8102
NPI assigned
Oct 3, 2017
Last updated
Oct 3, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2017

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

Authorized official

Name
Mrs. Meghan Cantlon Dixon, RD, LDNPI 1851765820
Title
Owner/Founder
Phone
(830) 265-8004

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
NutritionistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 133N00000X Primary

Addresses

Primary practice location

2861 40TH St N
St Petersburg, FL 33713-2240

Mailing address

2861 40TH St N
St Petersburg, FL 33713-2240

National Provider Directory

National Provider Directory

Practitioners & 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.

NPI Registry JSON

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

{
    "created_epoch": "1506988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1506988800000",
    "number": "1952811077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2861 40TH ST N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337132240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2861 40TH ST N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337132240",
            "telephone_number": "704-640-8102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOURISHING MINDS NUTRITION",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-03",
        "last_updated": "2017-10-03",
        "status": "A",
        "authorized_official_last_name": "DIXON",
        "authorized_official_first_name": "MEGHAN",
        "authorized_official_middle_name": "CANTLON",
        "authorized_official_title_or_position": "OWNER/FOUNDER",
        "authorized_official_telephone_number": "830-265-8004",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RD, LD"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nutritionist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2017; 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.