Jill Ann Mahan, RD
NPI 1104280692ActiveIndividual· Dietitian, Registered· Duluth, MN
Dietitian, Registered (RD) in Duluth, Minnesota, licensed in MN, with an NPI issued in April 2016. Enrolled in Medicare as practitioner - registered dietitian or nutrition professional.
Overview
| NPI | 1104280692 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | RD |
| Sole proprietor | Yes |
| NPI issued | Apr 11, 2016 |
| Last updated in NPPES | Apr 11, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dietitian, Registered Primary | 133V00000X | 3219 | MN |
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 Practitioner - Registered Dietitian Or Nutrition Professional (WI) |
|---|
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All 63 registered dietitians in Duluth · All registered dietitians in Minnesota