Individual provider Active NPI

Jennifer Lee McGuoirk, MS,RD,LDN

  • Registered Dietitian
  • Lower Gwynedd, PA
National Provider Identifier
1780870865
Registry record updated Sep 21, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
DN002140 Issued in PA
Practice address
714 N Bethlehem Pike Ste 300
Lower Gwynedd, PA 19002-2655
Phone
(215) 283-2833
NPI assigned
Sep 21, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 21, 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 DN002140 PA Primary

Addresses

Primary practice location

714 N Bethlehem Pike Ste 300
Lower Gwynedd, PA 19002-2655

Mailing address

247D Moria PL
Aston, PA 19014-1264

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)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
DN002140PAMDRegistered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1190332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190332800000",
    "number": "1780870865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "247D MORIA PL",
            "city": "ASTON",
            "state": "PA",
            "postal_code": "190141264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "714 N BETHLEHEM PIKE STE 300",
            "city": "LOWER GWYNEDD",
            "state": "PA",
            "postal_code": "190022655",
            "telephone_number": "215-283-2833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGUOIRK",
        "first_name": "JENNIFER",
        "middle_name": "LEE",
        "credential": "MS,RD,LDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-21",
        "last_updated": "2007-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "PA",
            "license": "DN002140",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lower Gwynedd, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 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.