Mary Kathryn Gowdy, MS, CNS, LDN, CHHP

Primary specialty

NutritionistTaxonomy code 133N00000X

License

DN007234 Issued in PA

Practice address

850 Galen Dr
State College, PA 16803-1164

Phone

(814) 777-8919

NPI assigned

Feb 16, 2021

Last updated

Feb 16, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Specialist, Master of Science

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Purely Rooted Nutrition and Wellness

  • Nutrition Education Nutritionist
  • State College, PA
  • NPI 1528651064
  Medicare reassignment Authorized official
• Utopia Wellcare LLC

  dba Utopia WellCare

  • Registered Dietitian
  • Media, PA
  • NPI 1992388052
  NPD (past)

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

{
    "created_epoch": "1613433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613433600000",
    "number": "1912590449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 GALEN DR",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168031164",
            "telephone_number": "814-777-8919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 GALEN DR",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168031164",
            "telephone_number": "814-777-8919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOWDY",
        "first_name": "MARY",
        "middle_name": "KATHRYN",
        "credential": "MS, CNS, LDN, CHHP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-16",
        "last_updated": "2021-02-16",
        "certification_date": "2021-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "PA",
            "license": "DN007234",
            "primary": true
        },
        {
            "code": "133NN1002X",
            "taxonomy_group": "",
            "desc": "Nutritionist, Nutrition, Education",
            "state": "PA",
            "license": "DN007234",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Molly Gomez
• Candace R Good, MD
• Larina Good
• Jacob Gorham, MS, RD, LD, NASM-CPT
• Jennifer M Gorsuch, OTR/L
• Kavita Goyal, MD
• Gracanne Pearl Dreibelbis-Drapcho
• Lauren Elizabeth Granese, LPC
• Celina Grassmyer, PH.D.
• Keriann Nickola Gray, M.D.

• Nutritionist in State College, PA
• Providers in State College, PA by specialty
• Nutritionist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2021; 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.