Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mrs. Tracy Mindiola, RD

Individual provider Registered Dietitian · NPI 1457084154

Mrs. Tracy Mindiola, RD is a 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.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

12488 74th Ave N
Maple Grove, MN 55369-5285
Phone: (763) 267-2015
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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
Mailing address12488 74th Ave N, Maple Grove, MN 55369-5285

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

Other providers in Maple Grove