Julie Mangifesta, RD
Individual provider Active NPI Registered Dietitian · Dresher, PA
NPI 1063301299 · NPPES record last updated Jul 1, 2025
Key facts
- NPI
- 1063301299
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- License
- 801061 (PA)
- Practice address
- 1024 Daniel Dr
Dresher, PA 19025-1124 - Phone
- (267) 872-4184
- NPI assigned
- Jul 1, 2025
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
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 |
|---|---|---|---|
| 801061 | PA | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fay Nutrition | Dietitian, Registered | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 801061 | PA | Yes |
Addresses
Primary practice location
1024 Daniel Dr
Dresher, PA 19025-1124
Mailing address
1024 Daniel Dr
Dresher, PA 19025-1124
Phone (267) 872-4184
Other providers in Dresher, PA
- Levera Homecare LLC
- Joseph P Lewcun
- Stephen E Litman
- Barbara Magee
- Arnold Joel Malerman
- Ruth G Margolis
- Cheryl Dianne Marnien-Aviles
- Patricia Marquis
- Maynes & Renger Dentistry
- Karen McDonald
All providers in Dresher, 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 1, 2025. 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.