Organization Active NPI

Gateway Nutrition Solutions, LLC

  • Renal Nutrition Registered Dietitian
  • Factoryville, PA
National Provider Identifier
1871305672
Registry record updated Feb 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Renal Nutrition Registered DietitianTaxonomy code 133VN1005X
Legal business name
GATEWAY NUTRITION SOLUTIONS, LLC
Practice address
273 Stone LN
Factoryville, PA 18419-7957
Phone
(570) 561-7718
NPI assigned
Jan 21, 2025
Last updated
Feb 18, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2025

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

Authorized official

Name
Austin Kahari, MS, RDN, CSR, LDNNPI 1649667528
Title
Owner
Phone
(570) 561-7718

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Renal Nutrition Registered Dietitian 133VN1005X NU Primary
Metabolic Nutrition Registered Dietitian 133VN1006X NU
Obesity and Weight Management Nutrition Registered Dietitian 133VN1201X NU

Addresses

Primary practice location

273 Stone LN
Factoryville, PA 18419-7957

Mailing address

273 Stone LN
Factoryville, PA 18419-7957
Phone (570) 561-7718

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250826002056 PA Part B Supplier - Clinic/Group Practice 5991205627 Receives reassigned benefits from 1 practitioner
Practice locations: Factoryville, PA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1737417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739836800000",
    "number": "1871305672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "273 STONE LN",
            "city": "FACTORYVILLE",
            "state": "PA",
            "postal_code": "184197957",
            "telephone_number": "570-561-7718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "273 STONE LN",
            "city": "FACTORYVILLE",
            "state": "PA",
            "postal_code": "184197957",
            "telephone_number": "570-561-7718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GATEWAY NUTRITION SOLUTIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-21",
        "last_updated": "2025-02-18",
        "certification_date": "2025-02-18",
        "status": "A",
        "authorized_official_last_name": "KAHARI",
        "authorized_official_first_name": "AUSTIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "570-561-7718",
        "authorized_official_credential": "MS, RDN, CSR, LDN"
    },
    "taxonomies": [
        {
            "code": "133VN1005X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Renal",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "133VN1006X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Metabolic",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "133VN1201X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Obesity and Weight Management",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Factoryville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.