Active NPI
Usafa
- Sports Dietetics Nutrition Registered Dietitian
- Usaf Academy, CO
National Provider Identifier
1417745431
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Dietetics Nutrition Registered Dietitian
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Galina Lodge, MS, RD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Dietetics Nutrition Registered Dietitian | 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
National Provider Directory
National Provider DirectoryLocations
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.
-
- Sports Dietetics Nutrition Registered Dietitian
- Lexington, KY
- NPI 1619760154
Nutrition, Sports Dietetics
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.