Individual provider Active NPI

Dana Gardenhour Bodek, MS, CNS, LDN

  • Nutritionist
  • Pittsburgh, PA
National Provider Identifier
1457964579
Registry record updated Aug 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
NutritionistTaxonomy code 133N00000X
License
DN007091 Issued in PA
Practice address
1903 Wentworth CT
Pittsburgh, PA 15237-1769
Phone
(172) 430-9686
NPI assigned
Aug 28, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 28, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nutritionist 133N00000X DN007091 PA Primary

Addresses

Primary practice location

1903 Wentworth CT
Pittsburgh, PA 15237-1769

Mailing address

1903 Wentworth CT
Pittsburgh, PA 15237-1769
Phone (172) 430-9686

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)
Not enrolled
Credentials
Certified Nurse Specialist, Master of Science

State licenses

LicenseStateTypeSpecialty
DN007091PAMDNutritionist

NPI Registry JSON

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

{
    "created_epoch": "1598572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598572800000",
    "number": "1457964579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1903 WENTWORTH CT",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152371769",
            "telephone_number": "172-430-9686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1903 WENTWORTH CT",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152371769",
            "telephone_number": "172-430-9686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BODEK",
        "first_name": "DANA",
        "middle_name": "GARDENHOUR",
        "credential": "MS, CNS, LDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-28",
        "last_updated": "2020-08-28",
        "certification_date": "2020-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "PA",
            "license": "DN007091",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 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.