Active NPI
Jenalee Gfeller Richner
- Registered Dietitian
- South Abington Township, PA
National Provider Identifier
1306288493
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- DN004959
- Practice address
- 4005 Pond View Dr
South Abington Township, PA 18411-8739 - Phone
- (330) 206-0952
- NPI assigned
- Jul 18, 2013
- 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 |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | DN004959 | PA | Primary |
Addresses
Primary practice location
4005 Pond View Dr
South Abington Township, PA 18411-8739
Mailing address
4005 Pond View Dr
South Abington Township, PA 18411-8739
Phone (330) 206-0952
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DN004959 | Other | PA | PA LICENSE NUMBER |
Other names 1
- Jenalee Ann Gfeller
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN004959 | PA | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Integrated Behavioral Health Services, LLC | Current | Accepting new patients |
Locations
502 N Blakely St
Dunmore, PA 18512
Phone (570) 342-8434
1251 Wyoming Ave
Exeter, PA 18643
Phone (570) 307-9054
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1374105600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1423094400000",
"number": "1306288493",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4005 POND VIEW DR",
"city": "SOUTH ABINGTON TOWNSHIP",
"state": "PA",
"postal_code": "184118739",
"telephone_number": "330-206-0952"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4005 POND VIEW DR",
"city": "SOUTH ABINGTON TOWNSHIP",
"state": "PA",
"postal_code": "184118739",
"telephone_number": "330-206-0952"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RICHNER",
"first_name": "JENALEE",
"middle_name": "GFELLER",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-07-18",
"last_updated": "2015-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "PA",
"license": "DN004959",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PA LICENSE NUMBER",
"identifier": "DN004959",
"state": "PA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JENALEE",
"last_name": "GFELLER",
"middle_name": "ANN",
"credential": "RD LDN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in South Abington Township, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 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.