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ST. AGNES HEALTHCARE INC. NPI 1780225326


NPI Information

NPI: 1780225326
Provider Name: ST. AGNES HEALTHCARE, INC.

Other Name: ST AGNES DIABETES PREVENTION PROGRAM

Classification: Dietitian, Registered - 133VN1201X
Entity Type: Organization

Specialization: Nutrition, Obesity and Weight Management

Address:
900 CATON AVE
BALTIMORE, MD
ZIP 21229
Phone: (667) 234-3244
Get Directions

ST. AGNES HEALTHCARE, INC. is a nutrition and obesity and weight management dietitian registered in Baltimore, MD. The provider is an individual who is a Board Certified Specialist for Obesity and Weight Management and educates, supports, and advocates for patients and clients to understand and manage their weight and associated risks through the use of nutritional, behavioral health, medical, surgical, pharmacotherapeutic, and exercise and physical activity interventions. ST. AGNES HEALTHCARE, INC. NPI is 1780225326. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Other Name Is St Agnes Diabetes Prevention Program.

The provider's business location address is:

900 CATON AVE
BALTIMORE, MD
ZIP 21229-201
Phone: (667) 234-3244

The provider's authorized official is Edward R Lovern .
The authorized official title is President/ceo and has the following contact phone number (667) 234-2105.

The enumeration date for this NPI number is 10/4/2019 and was last updated on 6/23/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101Y00000XCounselorNo
2133V00000XDietitian, RegisteredNo
3133VN1201XDietitian, RegisteredNutrition, Obesity and Weight ManagementYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.