Gina M. Ellery, LLC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Legal business name

GINA M. ELLERY, LLC

Practice address

671 Main St
Harleysville, PA 19438-1772

Phone

(215) 859-3858

NPI assigned

Oct 20, 2021

Organization subpart

No

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

Authorized official

Name

Gina Mae Ellery, MS, RD, LDNNPI 1649838095

Title

Registered Dietitian

Phone

(215) 859-7238

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gina Ellery, MS, RD, LDN, CNSC

  • Registered Dietitian
  • Sellersville, PA
  • NPI 1649838095

  Dietitian, Registered

  Medicare reassignment NPD Authorized official
• Alana Draves, MS, RD, LDN

  • Registered Dietitian
  • Sellersville, PA
  • NPI 1952970873

  Dietitian, Registered

  NPD (past)
• Heather Marie Krick, DHSC, MS, RDN, LDN

  • Registered Dietitian
  • King of Prussia, PA
  • NPI 1700358611

  Dietitian, Registered

  NPD (past)

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

{
    "created_epoch": "1634688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645228800000",
    "number": "1174286744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "604 HARLEYSVILLE PIKE",
            "city": "HARLEYSVILLE",
            "state": "PA",
            "postal_code": "194382824",
            "telephone_number": "215-859-7238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "671 MAIN ST",
            "city": "HARLEYSVILLE",
            "state": "PA",
            "postal_code": "194381772",
            "telephone_number": "215-859-3858"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "604 Harleysville Pike",
            "address_purpose": "LOCATION",
            "city": "Harleysville",
            "state": "PA",
            "postal_code": "194382824",
            "country_code": "US",
            "telephone_number": "215-859-3858",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GINA M. ELLERY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-20",
        "last_updated": "2022-02-19",
        "certification_date": "2022-02-19",
        "status": "A",
        "authorized_official_last_name": "ELLERY",
        "authorized_official_first_name": "GINA",
        "authorized_official_middle_name": "MAE",
        "authorized_official_title_or_position": "REGISTERED DIETITIAN",
        "authorized_official_telephone_number": "215-859-7238",
        "authorized_official_credential": "MS, RD, LDN"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ginaellery@dietitian.hush.com",
            "affiliation": "N",
            "endpointDescription": "HIPAA compliant e-mail",
            "address_1": "604 Harleysville Pike",
            "city": "Harleysville",
            "state": "PA",
            "country_code": "US",
            "postal_code": "194382824",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Samantha Garrison
• Wren Gaston Heavener, CCC SLP L
• Nikita Gavrilov, MS, LPC
• Charles Geiger
• Dana Lynn Gentile, MSN, CRNP, PMHNP-BC
• Go2Therapy,LLC
• Tracy Lea Godshall, MA CCCSLP
• Shane Golden
• Grand View Hospital (Grand View Hospital Medical Practices Gastroenterology Associates)
• Grand View Hospital (Grand View Hospital Medical Practices Harleysville)

• Registered Dietitian in Harleysville, PA
• Providers in Harleysville, PA by specialty
• Registered Dietitian in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.