Eat Well, LLC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Legal business name

EAT WELL, LLC

Practice address

107 Belleauwood Blvd
Trafford, PA 15085-1220

Phone

(724) 610-9472

NPI assigned

Aug 22, 2020

Organization subpart

No

Name

Angela Behanna, RDNPI 1922325117

Title

Co-Owner/Dietitian

Phone

(724) 610-9421

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Angela Behanna, MS, RD, LDN

  • Registered Dietitian
  • Trafford, PA
  • NPI 1922325117

  Dietitian, Registered, PA

  Medicare reassignment NPD Authorized official

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 14, 2022.

{
    "created_epoch": "1598054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644796800000",
    "number": "1982216636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 BELLEAUWOOD BLVD",
            "city": "TRAFFORD",
            "state": "PA",
            "postal_code": "150851220",
            "telephone_number": "724-610-9472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 BELLEAUWOOD BLVD",
            "city": "TRAFFORD",
            "state": "PA",
            "postal_code": "150851220",
            "telephone_number": "724-610-9472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAT WELL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-22",
        "last_updated": "2022-02-14",
        "certification_date": "2022-02-14",
        "status": "A",
        "authorized_official_last_name": "BEHANNA",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "CO-OWNER/DIETITIAN",
        "authorized_official_telephone_number": "724-610-9421",
        "authorized_official_credential": "RD"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marley Chrisman, DPT
• Chris Colley, PT
• Allyson Elizabethmae Doran
• Elizabeth Dorosh, LPC
• Charles Dugan
• Scott A Edmundson, R.PH.
• Lisa Ference
• Thomas E Gates, D.M.D.
• Ken Gibson
• Angel Goydich, MS, CCC-SLP

• All providers in Trafford, PA
• Registered Dietitian in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2022; 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.