Active NPI
Aubrey Sullivan, RDN, LD
- Registered Dietitian
- Bethel Park, PA
National Provider Identifier
1497570329
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- DN008623
- Practice address
- 4607 Library Rd Ste 220-1143
Bethel Park, PA 15102-6902 - Phone
- (724) 201-6339
- NPI assigned
- Nov 15, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | DN008623 | PA | Primary |
Addresses
Primary practice location
4607 Library Rd Ste 220-1143
Bethel Park, PA 15102-6902
Mailing address
4607 Library Rd Ste 220-1143
Bethel Park, PA 15102-6902
Phone (724) 201-6339
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN008623 | PA | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Green Acorn Nutrition LLC | Dietitian, Registered | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1731628800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776816000000",
"number": "1497570329",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4607 LIBRARY RD STE 220-1143",
"city": "BETHEL PARK",
"state": "PA",
"postal_code": "151026902",
"telephone_number": "724-201-6339"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4607 LIBRARY RD STE 220-1143",
"city": "BETHEL PARK",
"state": "PA",
"postal_code": "151026902",
"telephone_number": "724-201-6339"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SULLIVAN",
"first_name": "AUBREY",
"credential": "RDN, LD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-11-15",
"last_updated": "2026-04-22",
"certification_date": "2026-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "PA",
"license": "DN008623",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bethel Park, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.