Individual provider Active NPI

Hannah Jane Cleo Burgoon, MS, RD

  • Registered Dietitian
  • Pittsburgh, PA
National Provider Identifier
1922770692
Registry record updated Oct 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Practice address
3937 Butler St
Pittsburgh, PA 15201-3222
Phone
(412) 622-7343
NPI assigned
Oct 1, 2021
Last updated
Oct 1, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2021

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 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.

Verify at the official NPI Registry.