Active NPI
Hannah Jane Cleo Burgoon, MS, RD
- Registered Dietitian
- Pittsburgh, PA
National Provider Identifier
1922770692
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Practice address
- 3937 Butler St
Pittsburgh, PA 15201-3222 - Phone
- (412) 622-7343
- NPI assigned
- Oct 1, 2021
- Last updated
- Oct 1, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | Primary |
Addresses
Primary practice location
3937 Butler St
Pittsburgh, PA 15201-3222
Mailing address
634 Maryland Ave Apt 1
Pittsburgh, PA 15232-1730
Phone (814) 558-1341
Other practice location 1
1072 5th Ave
New Kensington, PA 15068
Phone (724) 334-3640
Other practice location 2
5475 Penn Ave
Pittsburgh, PA 15206-3453
Phone (412) 361-7562
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)
- Not enrolled
- Credentials
- Master of Science
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1633046400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1633046400000",
"number": "1922770692",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "634 MARYLAND AVE APT 1",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152321730",
"telephone_number": "814-558-1341"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3937 BUTLER ST",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152013222",
"telephone_number": "412-622-7343"
}
],
"practiceLocations": [
{
"address_1": "1072 5th Ave",
"address_purpose": "LOCATION",
"city": "New Kensington",
"state": "PA",
"postal_code": "15068",
"country_code": "US",
"telephone_number": "724-334-3640",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5475 Penn Ave",
"address_purpose": "LOCATION",
"city": "Pittsburgh",
"state": "PA",
"postal_code": "152063453",
"country_code": "US",
"telephone_number": "412-361-7562",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BURGOON",
"first_name": "HANNAH",
"middle_name": "JANE CLEO",
"credential": "MS, RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-10-01",
"last_updated": "2021-10-01",
"certification_date": "2021-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pittsburgh, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.