MEDICARE: MS. KARLA JEAN MINTER MPH, RD, CD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	133V00000X	Registered Dietitian	37000537A	IN
2	133VN1004X	Pediatric Nutrition Registered Dietitian	37000537A	IN

General Provider Information

NPI Number	:	1134348188
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. KARLA JEAN MINTER MPH, RD, CD

Provider Business Mailing Address
First Line	:	20111 REGINA RD
Second Line	:
City	:	NEW PARIS
State	:	IN
Zip	:	46553-9632
Country	:	US
Telephone Number	:	574-202-0704
Fax Number	:	574-831-6795

Provider Business Practice Location Address
First Line	:	20111 REGINA RD
Second Line	:
City	:	NEW PARIS
State	:	IN
Zip	:	46553-9632
Country	:	US
Telephone Number	:	574-202-0704
Fax Number	:	574-831-6795

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/25/2007
Last Update Date	:	09/11/2025

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