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JACOB GORHAM MS, RD, LD, NASM-CPT
NPI 1396579967
Dietitian, Registered in State College, PA

Active since August 27, 2024
424 W AARON DR, STATE COLLEGE, PA 16803(814) 234-1625 Get Directions Write a Review

NPPES record last updated: August 27, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jacob Gorham Ms, Rd, Ld, Nasm-cpt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACOB GORHAM MS, RD, LD, NASM-CPT (NPI 1396579967) is an individual dietitian, registered in State College, Pennsylvania and active in the NPI registry since August 2024.

NPPES Registry Identity

NPI1396579967
Entity TypeIndividualMale
Primary Taxonomy133V00000X
Provider Legal NameJACOB GORHAMCredential: MS, RD, LD, NASM-CPT
Location Address424 W AARON DRState College, PA 16803-3043
Mailing Address1000 W Aaron Dr Apt H07State College, PA 16803-3151
Phone(814) 234-1625
Sole ProprietorNo
Enumeration DateAugust 27, 2024
NPPES CertifiedAugust 24, 2024
✔ NPI 1396579967 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
Definition
A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.
424 W AARON DR, State College, PA 16803
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Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BACK TO LIFE PHYSICAL THERAPY, INC.
Clinic/Center (Physical Therapy)
424 W AARON DR, SUITE 201
STATE COLLEGE, PA 16803
Centre County (814) 235-9995
FITNESS CONSULTANTS INC.
Health Educator
424 W AARON DR
STATE COLLEGE, PA 16803
Centre County (814) 234-1625
HALEY GOLICH RD, LDN
Dietitian, Registered
424 W AARON DR
STATE COLLEGE, PA 16803
Centre County (814) 234-1625

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jacob Gorham's NPI number?

The NPI number for Jacob Gorham is 1396579967. It was assigned to this individual provider in the NPPES registry on August 27, 2024.

Where is Jacob Gorham located?

Jacob Gorham practices at 424 W Aaron Dr, State College, PA 16803. The listed phone number is (814) 234-1625.

What is Jacob Gorham's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

When was this NPI record last updated?

The NPPES record for Jacob Gorham was last updated on August 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.