Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Mrs. Tracy Mindiola, RD

Individual provider Registered Dietitian · NPI 1457084154

Mrs. Tracy Mindiola, RD is registered under Registered Dietitian OR Nutrition Professional in Maple Grove, Minnesota. Qualified in 2001, 25 years ago. Practices with Nourish, Inc, a 277-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
25
Licensed in
MN
In the registry since
2022
What do these letters mean?
RD — Registered Dietitian
A credentialed nutrition professional.

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Practice location Address checks out

12488 74th Ave N
Maple Grove, MN 55369-5285
Phone: (763) 267-2015
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence 4379 (MN)

Record details

NPI number1457084154
Entity typeIndividual (Type 1)
GenderFemale
Credentials RD
Sole proprietorNo
NPI enumeratedJuly 8, 2022
Last updated in NPPESSeptember 12, 2023
Certification dateSeptember 12, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyREGISTERED DIETITIAN OR NUTRITION PROFESSIONAL
Medical schoolOTHER
Graduated 2001 (25 years in practice)
Group practice Nourish, Inc. — 277 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Colleagues at Nourish, Inc

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 277 clinicians in the practice; 12 are shown here.

Other providers in Maple Grove