Individual provider Active NPI

Jenalee Gfeller Richner

  • Registered Dietitian
  • South Abington Township, PA
National Provider Identifier
1306288493
Registry record updated Feb 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
DN004959 Issued in PA
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

Updated by the provider on Feb 5, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
DN004959OtherPAPA LICENSE NUMBER

Other names 1

  • Jenalee Ann Gfeller Former name

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

LicenseStateTypeSpecialty
DN004959PAMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Behavioral Health Services, LLC CurrentSince Jul 17, 2022 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.

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.

Verify at the official NPI Registry.