Danica Teagan Garvin, MS, RDN, LDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

DX4982 Issued in MD

Practice address

4940 Eastern Ave
Bmo, Level 02
Baltimore, MD 21224-2735

Phone

(410) 550-5260

NPI assigned

Feb 9, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1612828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612828800000",
    "number": "1487246567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11306 BUCKLEBERRY PATH",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210441008",
            "telephone_number": "443-253-0898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4940 EASTERN AVE",
            "address_2": "BMO, LEVEL 02",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212242735",
            "telephone_number": "410-550-5260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARVIN",
        "first_name": "DANICA",
        "middle_name": "TEAGAN",
        "credential": "MS, RDN, LDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-09",
        "last_updated": "2021-02-09",
        "certification_date": "2020-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MD",
            "license": "DX4982",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MARYLAND BOARD OF DIETETIC PRACTICE LICENSE",
            "identifier": "DX4982",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMISSION ON DIETETIC REGISTRATION ID NUMBER",
            "identifier": "86169803",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alison Anne Gartner, PH.D.
• John D Gartner, PH.D.
• Thomas Garton
• Douglas M Gartrell, MD
• Robyn D Gartrell, MD
• Osazia Aaliyah Garwood, LMSW
• Garwyn Dental Center PC
• Garwyn Urological Center
• Garwyn Urological Center
• Donyelle Gary

• Registered Dietitian in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Registered Dietitian in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2021; 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.