Active NPI
Anita W. Gathogo, REGISTERED DIETITIAN
- Obesity and Weight Management Nutrition Registered Dietitian
- Nottingham, MD
National Provider Identifier
1346429412
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obesity and Weight Management Nutrition Registered Dietitian
- License
- DX2478
- Practice address
- 4744 Ridge Rd
Nottingham, MD 21236-3818 - Phone
- (410) 440-1213
- Fax
- (443) 835-2502
- NPI assigned
- Oct 25, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | DX2478 | MD | |
| Metabolic Nutrition Registered Dietitian | 133VN1006X | DX2478 | MD | |
| Obesity and Weight Management Nutrition Registered Dietitian | 133VN1201X | DX2478 | MD | Primary |
Addresses
Primary practice location
4744 Ridge Rd
Nottingham, MD 21236-3818
Mailing address
PO Box 4784
Baltimore, MD 21211-0784
Phone (410) 440-1213
Other practice location 1
821 N Eutaw St
Suite 405
Baltimore, MD 21201-4648
Phone (410) 225-8961
Other names 1
- Ms. Anita W. Gathago
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Baltimore | Health Information Exchange (HIE) |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nourishing Nutritionals LLC | Dietitian, Registered | Current | Accepting new patients |
| Mukta Medical Inc | Single Specialty | Past | Accepting new patients |
Locations
1005 N Point Blvd
Ste 728
Baltimore, MD 21224
Phone (240) 675-3018
Organizations & group practices 2
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": "1193270400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1605225600000",
"number": "1346429412",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4784",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212110784",
"telephone_number": "410-440-1213"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4744 RIDGE RD",
"city": "NOTTINGHAM",
"state": "MD",
"postal_code": "212363818",
"telephone_number": "410-440-1213",
"fax_number": "443-835-2502"
}
],
"practiceLocations": [
{
"address_1": "821 N Eutaw St",
"address_2": "Suite 405",
"address_purpose": "LOCATION",
"city": "Baltimore",
"state": "MD",
"postal_code": "212014648",
"country_code": "US",
"telephone_number": "410-225-8961",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GATHOGO",
"first_name": "ANITA",
"middle_name": "W.",
"name_prefix": "Ms.",
"credential": "REGISTERED DIETITIAN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-10-25",
"last_updated": "2020-11-13",
"certification_date": "2020-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Dietitian, Registered",
"state": "MD",
"license": "DX2478",
"primary": false
},
{
"code": "133VN1006X",
"taxonomy_group": "",
"desc": "Dietitian, Registered, Nutrition, Metabolic",
"state": "MD",
"license": "DX2478",
"primary": false
},
{
"code": "133VN1201X",
"taxonomy_group": "",
"desc": "Dietitian, Registered, Nutrition, Obesity and Weight Management",
"state": "MD",
"license": "DX2478",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Baltimore",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "4744 Ridge Rd",
"city": "Nottingham",
"state": "MD",
"country_code": "US",
"postal_code": "212363818",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "ANITA",
"last_name": "GATHAGO",
"middle_name": "W.",
"prefix": "MS.",
"credential": "MS. RD/LDN",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Nottingham, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.