Organization · Type 2 NPI

Mindful Mama Nutrition LLC

Clinic/Center · Lakeville, MN

NPI number 1013799626 Active

Practice location

17900 Isle Ave
Lakeville, MN 55044-9652

Call (507) 200-2064 Map

Specialties and licenses

Taxonomy	Code	License
Clinic/Center Primary	261Q00000X	None listed

Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

Another provider at this address

Allison Adele Reynolds, RDRegistered Dietitian Lakeville, MN NPI 1265933089

Other clinic/center providers in Lakeville

See all in Lakeville →

NPI record

NPI: 1013799626
Entity type: Organization (Type 2)
Issued: Oct 18, 2023
Last updated: Oct 25, 2026
Status: Active

Other names

Alli Reynolds Nutrition · doing business as
Mindful Mama Nutrition · doing business as

Authorized official

Allison Adele Reynolds
Registered Dietitian
(763) 485-0639

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1013799626

Mindful Mama Nutrition LLC's National Provider Identifier is 1013799626, issued on Oct 18, 2023. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Lakeville, MN. The record was last updated on Oct 25, 2026.