NPIMap

Organization Active NPI

Children's Hospital of Philadelphia

Doing business as Kennett Square Healthy Weight

  • Nutritionist
  • Kennett Square, PA
National Provider Identifier
1902403694
Registry record updated Feb 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
NutritionistTaxonomy code 133N00000X
Legal business name
CHILDREN'S HOSPITAL OF PHILADELPHIA
Doing business as
Kennett Square Healthy Weight
Practice address
817 E Baltimore Pike. Suite a
Kennett Square, PA 19348-1929
Phone
(610) 444-0113
Fax
(610) 444-0744
NPI assigned
Oct 6, 2020
Last updated
Feb 10, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
CHILDREN'S HOSPITAL OF PHILADELPHIAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 10, 2023

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

Authorized official

Name
Galena Mowday
Title
CRS
Phone
(215) 590-2897

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nutritionist 133N00000X Primary
Registered Dietitian 133V00000X
Pediatric Nutrition Registered Dietitian 133VN1004X

Addresses

Primary practice location

817 E Baltimore Pike. Suite a
Kennett Square, PA 19348-1929

Mailing address

3401 Civic Center Blvd
Philadelphia, PA 19104-4319

Other identifiers 1

IdentifierTypeStateIssuer
1007709910121MedicaidPA

Other names 1

  • Kennett Square Healthy Weight Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Childrens Hospital of Philadelphia70 organizations share this tax ID, including this one
Part of
Childrens Hospital of Philadelphia

Organizations with this tax ID in the same state 19

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1601942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675987200000",
    "number": "1902403694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3401 CIVIC CENTER BLVD",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191044319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "817 E BALTIMORE PIKE. SUITE A",
            "city": "KENNETT SQUARE",
            "state": "PA",
            "postal_code": "193481929",
            "telephone_number": "610-444-0113",
            "fax_number": "610-444-0744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDREN'S HOSPITAL OF PHILADELPHIA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CHILDREN'S HOSPITAL OF PHILADELPHIA",
        "enumeration_date": "2020-10-06",
        "last_updated": "2023-02-10",
        "certification_date": "2023-02-10",
        "status": "A",
        "authorized_official_last_name": "MOWDAY",
        "authorized_official_first_name": "GALENA",
        "authorized_official_title_or_position": "CRS",
        "authorized_official_telephone_number": "215-590-2897"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "133VN1004X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Pediatric",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007709910121",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kennett Square Healthy Weight",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Kennett Square Healthy Weight",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kennett Square, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2023; 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.