Individual provider Active NPI

Andrea J Kanode, MS RD LDN

  • Registered Dietitian
  • Altoona, PA
National Provider Identifier
1497762553
Registry record updated Jul 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
DN001585 Issued in PA
Practice address
2907 Pleasant Valley Blvd
James E Van Zandt VA Medical Center
Altoona, PA 16602-4377
Phone
(814) 943-8164
Fax
(814) 940-7862
NPI assigned
Aug 2, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X DN001585 PA Primary

Addresses

Primary practice location

2907 Pleasant Valley Blvd
James E Van Zandt VA Medical Center
Altoona, PA 16602-4377

Mailing address

212 Wineland St
Martinsburg, PA 16662-1256
Phone (814) 793-7964

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
Master of Science

State licenses

LicenseStateTypeSpecialty
DN001585PAMDRegistered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1154476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184025600000",
    "number": "1497762553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 WINELAND ST",
            "city": "MARTINSBURG",
            "state": "PA",
            "postal_code": "166621256",
            "telephone_number": "814-793-7964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2907 PLEASANT VALLEY BLVD",
            "address_2": "JAMES E VAN ZANDT VA MEDICAL CENTER",
            "city": "ALTOONA",
            "state": "PA",
            "postal_code": "166024377",
            "telephone_number": "814-943-8164",
            "fax_number": "814-940-7862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANODE",
        "first_name": "ANDREA",
        "middle_name": "J",
        "name_prefix": "Ms.",
        "credential": "MS RD LDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-02",
        "last_updated": "2007-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "PA",
            "license": "DN001585",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Altoona, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2007; 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.