Individual provider Active NPI

Christy Pickering Grodnitzky, MA, RD, LDN

  • Registered Dietitian
  • Lutherville Timonium, MD
National Provider Identifier
1134516529
Registry record updated Apr 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
DX2713 Issued in MD
Practice address
57 W Timonium Rd
Suite 111
Lutherville Timonium, MD 21093-3125
Phone
(410) 989-1886
Fax
(410) 630-1668
NPI assigned
Apr 23, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X DX2713 MD Primary

Addresses

Primary practice location

57 W Timonium Rd
Suite 111
Lutherville Timonium, MD 21093-3125

Mailing address

57 W Timonium Rd
Suite 111
Lutherville Timonium, MD 21093-3125
Phone (410) 989-1886

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
DX2713MDMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Nutrition Coaching Center Dietitian, Registered PastSince Jan 14, 2013 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1429747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429747200000",
    "number": "1134516529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "57 W TIMONIUM RD",
            "address_2": "SUITE 111",
            "city": "LUTHERVILLE TIMONIUM",
            "state": "MD",
            "postal_code": "210933125",
            "telephone_number": "410-989-1886",
            "fax_number": "410-630-1668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57 W TIMONIUM RD",
            "address_2": "SUITE 111",
            "city": "LUTHERVILLE TIMONIUM",
            "state": "MD",
            "postal_code": "210933125",
            "telephone_number": "410-989-1886",
            "fax_number": "410-630-1668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRODNITZKY",
        "first_name": "CHRISTY",
        "middle_name": "PICKERING",
        "credential": "MA, RD, LDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-23",
        "last_updated": "2015-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MD",
            "license": "DX2713",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lutherville Timonium, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.