Jody Balko, RD, RDN
Individual provider Active NPI Registered Dietitian · Uniontown, PA
NPI 1003222829 · NPPES record last updated Jul 2, 2014
Key facts
- NPI
- 1003222829
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- License
- DN004938 (PA)
- Practice address
- 22 Mill St
Uniontown, PA 15401-3237 - Phone
- (724) 322-8705
- NPI assigned
- Jul 2, 2014
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN004938 | PA | MD | Registered Dietitian |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | DN004938 | PA | Yes |
Addresses
Primary practice location
22 Mill St
Uniontown, PA 15401-3237
Mailing address
22 Mill St
Uniontown, PA 15401-3237
Phone (724) 322-8705
Other providers in Uniontown, PA
- Robert Francis Baker II
- Ryan Baker
- Shelby Lynne Baker
- Balanced Counseling & Consulting LLC
- Donna Baldwin
- Brandon M Ball
- Jeannette Balling
- Lyndsay Balogh
- Bobbie Jean Balsone
- Lindsay Bardo
All providers in Uniontown, PA · Registered Dietitian in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 2, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.