Mindfully Well LLC
NPI 1063287241ActiveOrganization· Dietitian, Registered· Plymouth, MN
Dietitian, Registered in Plymouth, Minnesota, registered in NPPES in November 2023. The authorized official on file is Samantha Hargreaves, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1063287241 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 17, 2023 |
| Last updated in NPPES | Nov 17, 2023 |
| Certified by provider | Nov 17, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dietitian, Registered Primary | 133V00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (MN) |
|---|
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