NPIMap

Organization Active NPI

Nourishing Nutritionals LLC

  • Registered Dietitian
  • Baltimore, MD
National Provider Identifier
1477064863
Registry record updated Nov 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
DX22478 Issued in MD
Legal business name
NOURISHING NUTRITIONALS LLC
Practice address
1005 N Point Blvd
Baltimore, MD 21224-3415
Phone
(410) 440-1213
Fax
(443) 835-2502
NPI assigned
Oct 12, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2025

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

Authorized official

Name
Anita W. Gathogo, RD LDNNPI 1346429412
Title
Owner
Phone
(410) 440-1213

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193200000X MULTI-SPECIALTY GROUP 133V00000X DX22478 MD Primary
Registered DietitianGroup: 193200000X MULTI-SPECIALTY GROUP 133V00000X DX2478 MD

Addresses

Primary practice location

1005 N Point Blvd
Baltimore, MD 21224-3415

Mailing address

PO Box 4784
Baltimore, MD 21211-0784
Phone (410) 440-1213

Other identifiers 1

IdentifierTypeStateIssuer
W18299354OtherMDDEPARTMENT ID

National Provider Directory

National Provider Directory

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": "1507766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762732800000",
    "number": "1477064863",
    "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",
            "fax_number": "443-835-2502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 N POINT BLVD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212243415",
            "telephone_number": "410-440-1213",
            "fax_number": "443-835-2502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOURISHING NUTRITIONALS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-12",
        "last_updated": "2025-11-10",
        "certification_date": "2025-11-10",
        "status": "A",
        "authorized_official_last_name": "GATHOGO",
        "authorized_official_first_name": "ANITA",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-440-1213",
        "authorized_official_credential": "RD LDN"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": "MD",
            "license": "DX22478",
            "primary": true
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": "MD",
            "license": "DX2478",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPARTMENT ID",
            "identifier": "W18299354",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 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.