Connie Mansell, RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

DN007375 Issued in PA

Practice address

625 Clark Ave
King of Prussia, PA 19406-1438

Phone

(215) 810-4193

NPI assigned

Sep 30, 2026

Last updated

Oct 6, 2026By 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 1

Addresses

Other names 1

• Connie Gormley Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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

{
    "created_epoch": "1790726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791244800000",
    "number": "1942114525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "833 SEARS ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191475717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 CLARK AVE",
            "city": "KING OF PRUSSIA",
            "state": "PA",
            "postal_code": "194061438",
            "telephone_number": "215-810-4193"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "833 Sears St",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191475717",
            "country_code": "US",
            "telephone_number": "215-810-4193",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANSELL",
        "first_name": "CONNIE",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-09-30",
        "last_updated": "2026-10-06",
        "certification_date": "2026-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "PA",
            "license": "DN007375",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CONNIE",
            "last_name": "GORMLEY",
            "credential": "RD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Marathon Physical Therapy, PC
• Kami Marchese, PSY.D.
• Stacy Jordan Marcucci, MS/SLP
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• Nicholas Stephen Marini, B.S., D.C.

• Registered Dietitian in King of Prussia, PA
• Providers in King of Prussia, PA by specialty
• Registered Dietitian in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.