Mary J Obenreder, LDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

DN001372 Issued in PA

Practice address

1 Hospital Dr
Clarion, PA 16214-8501

Phone

(814) 226-3416

Fax

(814) 226-1457

NPI assigned

Mar 7, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1141689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1679540801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1192 TREASURE LK",
            "city": "DU BOIS",
            "state": "PA",
            "postal_code": "158019028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 HOSPITAL DR",
            "city": "CLARION",
            "state": "PA",
            "postal_code": "162148501",
            "telephone_number": "814-226-3416",
            "fax_number": "814-226-1457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OBENREDER",
        "first_name": "MARY",
        "middle_name": "J",
        "credential": "LDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-07",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "PA",
            "license": "DN001372",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Jayne Nick, CRNP
• Jason Noto
• Andrea O'Brien
• Beverly JS O'Rourke, CRNP
• Tyler William Obenrader, DPT
• Yuliia Oliinyk, MD
• Michelle Olson Hutchins, CNM
• Kari Overheim, CRC, LPC
• Kelly L Owens, O.D.
• Chong Min Park, MD

• Registered Dietitian in Clarion, PA
• Providers in Clarion, PA by specialty
• Registered Dietitian in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.

Verify at the official NPI Registry.