Active NPI
Elana Bodner
- Nutritionist
- Reisterstown, MD
National Provider Identifier
1245815695
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutritionist
- License
- DX5186
- Practice address
- 233 Chartley Dr
Reisterstown, MD 21136-2325 - Phone
- (212) 979-9878
- NPI assigned
- Mar 16, 2021
- 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 |
|---|---|---|---|---|
| Nutritionist | 133N00000X | DX5186 | MD | Primary |
Addresses
Primary practice location
233 Chartley Dr
Reisterstown, MD 21136-2325
Mailing address
233 Chartley Dr
Reisterstown, MD 21136-2325
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 |
|---|---|---|---|
| DX5186 | MD | MD | Nutritionist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1615852800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1756339200000",
"number": "1245815695",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "233 CHARTLEY DR",
"city": "REISTERSTOWN",
"state": "MD",
"postal_code": "211362325"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "233 CHARTLEY DR",
"city": "REISTERSTOWN",
"state": "MD",
"postal_code": "211362325",
"telephone_number": "212-979-9878"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BODNER",
"first_name": "ELANA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-03-16",
"last_updated": "2025-08-28",
"certification_date": "2025-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "133N00000X",
"taxonomy_group": "",
"desc": "Nutritionist",
"state": "MD",
"license": "DX5186",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Reisterstown, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.