Isabella Gajdos

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

LD.10580 Issued in OH

Practice address

940 Windham CT
Boardman, OH 44512-5060

Phone

(330) 787-3962

NPI assigned

Jun 13, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH, PA2 enrollments

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: isabella.gajdos.p1@direct.oho.nextgenshare.com

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.

• Ohio North East Health Systems, Inc.

  • Community Health Clinic/Center
  • Youngstown, OH
  • NPI 1700917267
  Medicare reassignment NPD
• Rd Jrod Nutrition Counseling LLC

  • Registered Dietitian
  • Youngstown, OH
  • NPI 1184377319

  Dietitian, Registered, PA

  Medicare reassignment NPD
• Ohio North East Health Systems Inc

  • Federally Qualified Health Center (FQHC)
  • Youngstown, OH
  • NPI 1699236059
  NPD

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

{
    "created_epoch": "1718236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718236800000",
    "number": "1285477695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3595 TIMBERBROOKE TRL",
            "city": "POLAND",
            "state": "OH",
            "postal_code": "445145320",
            "telephone_number": "330-787-3962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "940 WINDHAM CT",
            "city": "BOARDMAN",
            "state": "OH",
            "postal_code": "445125060",
            "telephone_number": "330-787-3962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAJDOS",
        "first_name": "ISABELLA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-06-13",
        "last_updated": "2024-06-13",
        "certification_date": "2024-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "OH",
            "license": "LD.10580",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katie Fuline
• Full Circle Enrichment, Inc.
• Full Circle Homecare, LLC
• Amelia M Fulytar, APRN, FNP-BC
• Phil M Gainan, DC
• Andrew Garchar
• Sandra L. Garchar, LPCC
• Kalie Marie Gargano-Murphy, DO
• Benjamin Maxwell Garner, MD
• Gateways to Better Living, Inc.

• Registered Dietitian in Boardman, OH
• Providers in Boardman, OH by specialty
• Registered Dietitian in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2024; 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.