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NPI 1366069338
● Active Type 2 · Organization
Mindful Fork Nutrition Llc
Dietitian, Registered · Austin, TX · NPI 1366069338
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Enumerated 2020 · 5 years on NPI
Mindful Fork Nutrition Llc is 1 of 5402 dietitian, registered organizations in Texas.
NPI age
5 years
Enumerated 2020-06-25
Primary specialty
Dietitian, Registered
Plus 1 secondary
Practice locations
2
1 secondary on file
Status
Active
No deactivations on record
Authorized official
Ayoub
Owner
Last NPPES update
2020-06-27
Source: monthly bulk 2026-05
How this organization compares
Across 5402 active dietitian, registered providers in Texas.
NPI age
5 years
≈ at median (5 yr)
Practice locations
2
1 secondary on file
Subspecialties
1
In the 10% of peers with subspecialties
NPI lifetime · 2020 → 2026
2020-06 Enumerated in NPPES
2020
2026
Where they practice
Primary practice location
4301 Burnet Rd Ste A
Austin, TX 787563317
📞 5129800590 fax 5125985306
Mailing address
1602 Edgewood Ave
Austin, TX 787221935
📞 5129800590
Additional practice locations
1 secondary location on file with NPPES.
Location 2
1602 Edgewood Ave
Austin, TX 787221935
📞 5129800590 fax 5125985306
Authorized official
Jacqueline Ayoub, RDN, LD
Owner
📞 5129800590
Individual providers at this organization
1 individual provider on file at this primary practice address.
Specialties
Dietitian, Registered
Primary
A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based...
taxonomy 133V00000X
Nutritionist
Definition to come...
taxonomy 133NN1002X
Practice context
Multi-provider organization.
1 individual provider on file at this primary address.
Plus 1 secondary practice location.
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How to verify this organization
Confirm the NPI on NPPES. The CMS registry is the system of record. Open NPPES →
Verify the organization is in good standing. Cross-check with the state's business registration and any applicable licensing boards.
Confirm payer enrollment if billing. NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.
Updated 2026-05-14
· Source: CMS NPPES bulk export. Praxis MD refreshes the directory monthly with weekly delta updates.
Independent public resource. Not affiliated with CMS, HHS, or NPPES. Not endorsed by the U.S. government.
NPI listing is not proof of active licensure or payer enrollment.