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JUDITH GAIL MITNICK
NPI 1619682572
Dietitian, Registered in Virginia Beach, VA

Active since January 16, 2023
848 FIRST COLONIAL RD STE B, VIRGINIA BEACH, VA 23451(757) 422-4728 Get Directions Write a Review

NPPES record last updated: January 16, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Judith Gail Mitnick NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JUDITH GAIL MITNICK (NPI 1619682572) is an individual dietitian, registered in Virginia Beach, Virginia and active in the NPI registry since January 2023. She is a graduate of Other (1985).

NPPES Registry Identity

NPI1619682572
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameJUDITH GAIL MITNICK
Location Address848 FIRST COLONIAL RD STE BVirginia Beach, VA 23451-6126
Mailing Address4632 Lodgepole DrVirginia Beach, VA 23462-4700 · (757) 679-9712
Phone(757) 422-4728
Sole ProprietorNo
Medical School CMSOtherGraduated 1985
Enumeration DateJanuary 16, 2023
NPPES CertifiedJanuary 15, 2023
✔ NPI 1619682572 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
Definition
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 applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.
848 FIRST COLONIAL RD STE B, Virginia Beach, VA 23451
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Judith Gail Mitnick is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5395119465
PECOS Enrollment IDI20230314000403

Medicare Billing Reassignment

Medicare enrollment records show Judith Mitnick reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Jwf Nutrition, LLC
Same address
Dietitian, Registered
848 FIRST COLONIAL RD STE B
Virginia Beach, VA 23451
  • Reassigned Medicare billing, Virginia enrollment
  • 16 clinicians in this Medicare group
NPI 1356749170 (757) 422-4728

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BRIANNA FRUTCHEY RD
Dietitian, Registered
848 FIRST COLONIAL RD STE B
VIRGINIA BEACH, VA 23451
Virginia Beach City (757) 422-4728
MS. ASHLEY MONET HALL MA, RDN
Dietitian, Registered
848 FIRST COLONIAL RD STE B
VIRGINIA BEACH, VA 23451
Virginia Beach City (757) 422-4728
JWF NUTRITION, LLC
Dietitian, Registered
848 FIRST COLONIAL RD STE B
VIRGINIA BEACH, VA 23451
Virginia Beach City (757) 422-4728
MRS. RACHEL ELIZABETH FORTE RD
Dietitian, Registered
848 FIRST COLONIAL RD STE B
VIRGINIA BEACH, VA 23451
Virginia Beach City (757) 422-4728

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Judith Mitnick's NPI number?

The NPI number for Judith Mitnick is 1619682572. It was assigned to this individual provider in the NPPES registry on January 16, 2023.

Where is Judith Mitnick located?

Judith Mitnick practices at 848 First Colonial Rd Ste B, Virginia Beach, VA 23451. The listed phone number is (757) 422-4728.

What is Judith Mitnick's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Is Judith Mitnick enrolled in Medicare?

Yes. Judith Mitnick is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Judith Mitnick's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Judith Mitnick reassigns Medicare benefits to Jwf Nutrition, LLC (Virginia Beach, VA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Judith Mitnick's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Judith Mitnick was last updated on January 16, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.