Individual provider Active NPI

Anita W. Gathogo, REGISTERED DIETITIAN

  • Obesity and Weight Management Nutrition Registered Dietitian
  • Nottingham, MD
National Provider Identifier
1346429412
Registry record updated Nov 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obesity and Weight Management Nutrition Registered DietitianTaxonomy code 133VN1201X
License
DX2478 Issued in MD
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

Updated by the provider on Nov 13, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 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 Professional name

Electronic endpoints 1

TypeEndpointUseAffiliation
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

OrganizationSpecialtyStatusNew patients
Nourishing Nutritionals LLC Dietitian, Registered CurrentSince Nov 18, 2025 Accepting new patients
Mukta Medical Inc Single Specialty PastSince Nov 15, 2020 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.

Verify at the official NPI Registry.