Active NPI
Brenda Bourger McGinley, RD
- Registered Dietitian
- Scranton, PA
National Provider Identifier
1013622992
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- DN006990
- Practice address
- 228 S Main Ave
Scranton, PA 18504-2545 - Phone
- (570) 904-7363
- Fax
- (570) 348-4079
- NPI assigned
- Jan 16, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | DN006990 | PA | Primary |
Addresses
Primary practice location
228 S Main Ave
Scranton, PA 18504-2545
Mailing address
131 Debbie Dr
Drums, PA 18222-1110
Phone (570) 350-0274
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN006990 | PA | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1673827200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1673827200000",
"number": "1013622992",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "131 DEBBIE DR",
"city": "DRUMS",
"state": "PA",
"postal_code": "182221110",
"telephone_number": "570-350-0274"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "228 S MAIN AVE",
"city": "SCRANTON",
"state": "PA",
"postal_code": "185042545",
"telephone_number": "570-904-7363",
"fax_number": "570-348-4079"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCGINLEY",
"first_name": "BRENDA",
"middle_name": "BOURGER",
"credential": "RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-01-16",
"last_updated": "2023-01-16",
"certification_date": "2023-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "PA",
"license": "DN006990",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Scranton, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.