Philadelphia Functional Nutrition, LLC

Primary specialty

NutritionistTaxonomy code 133N00000X

Legal business name

PHILADELPHIA FUNCTIONAL NUTRITION, LLC

Practice address

237 W Lancaster Ave Ste 215
Devon, PA 19333-1585

Phone

(484) 693-0660

Fax

(484) 643-4500

NPI assigned

Aug 19, 2024

Organization subpart

No

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

Authorized official

Name

Rachel Hershberger, CNS LDNNPI 1871035436

Title

Owner

Phone

(484) 693-0660

Specialties & licenses 2

Addresses

Locations

Practitioners 1

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

• Rachel Hershberger, CNS LDN

  • Nutritionist
  • Devon, PA
  • NPI 1871035436
  NPD Authorized official

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

{
    "created_epoch": "1724025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724025600000",
    "number": "1255163119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "237 W LANCASTER AVE STE 215",
            "city": "DEVON",
            "state": "PA",
            "postal_code": "193331585",
            "telephone_number": "484-693-0660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "237 W LANCASTER AVE STE 215",
            "city": "DEVON",
            "state": "PA",
            "postal_code": "193331585",
            "telephone_number": "484-693-0660",
            "fax_number": "484-643-4500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHILADELPHIA FUNCTIONAL NUTRITION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-19",
        "last_updated": "2024-08-19",
        "certification_date": "2024-08-19",
        "status": "A",
        "authorized_official_last_name": "HERSHBERGER",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "484-693-0660",
        "authorized_official_credential": "CNS LDN"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nutritionist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patient First Pennsylvania Medical Group PLLC
• Paul Kesselman, Psy.D. LLC
• Shanell Peebles
• Eleonor Pepito, P.T.
• Candis Leigh Perlman, MA, LPC, ATR-BC
• Mayra Gloria Picos-Lee
• Ashwini B Pilla, DMD
• Roger John Porter, MD
• Dana Pound, MS
• Kelli Priem

• Nutritionist in Devon, PA
• Providers in Devon, PA by specialty
• Nutritionist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2024; 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.