Organization Active NPI

Usafa

  • Sports Dietetics Nutrition Registered Dietitian
  • Usaf Academy, CO
National Provider Identifier
1417745431
Registry record updated May 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Dietetics Nutrition Registered DietitianTaxonomy code 133VN1501X
Legal business name
USAFA
Doing business as
USAFA
Practice address
2168 Field House Dr
Usaf Academy, CO 80840-9599
Phone
(412) 862-6521
NPI assigned
Apr 29, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2025

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

Authorized official

Name
Galina Lodge, MS, RDNPI 1619760154
Title
Football Dietitian
Phone
(719) 333-2416

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Dietetics Nutrition Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 133VN1501X Primary

Addresses

Primary practice location

2168 Field House Dr
Usaf Academy, CO 80840-9599

Mailing address

2168 Field House Dr
Usaf Academy, CO 80840-9599
Phone (412) 862-6521

Other names 1

  • USAFA Doing business as

National Provider Directory

National Provider Directory

Locations

2168 Field House Dr
USAF Academy, CO 80840
Phone (719) 333-0213

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1745884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747180800000",
    "number": "1417745431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2168 FIELD HOUSE DR",
            "city": "USAF ACADEMY",
            "state": "CO",
            "postal_code": "808409599",
            "telephone_number": "412-862-6521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2168 FIELD HOUSE DR",
            "city": "USAF ACADEMY",
            "state": "CO",
            "postal_code": "808409599",
            "telephone_number": "412-862-6521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "USAFA",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-29",
        "last_updated": "2025-05-14",
        "certification_date": "2025-05-14",
        "status": "A",
        "authorized_official_last_name": "LODGE",
        "authorized_official_first_name": "GALINA",
        "authorized_official_title_or_position": "FOOTBALL DIETITIAN",
        "authorized_official_telephone_number": "719-333-2416",
        "authorized_official_credential": "MS, RD"
    },
    "taxonomies": [
        {
            "code": "133VN1501X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered, Nutrition, Sports Dietetics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "USAFA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Usaf Academy, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2025; 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.