PURELY ROOTED NUTRITION AND WELLNESS
NPI 1528651064
Nutritionist - Nutrition, Education in State College, PA
About Purely Rooted Nutrition And Wellness NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PURELY ROOTED NUTRITION AND WELLNESS (NPI 1528651064) is a healthcare organization registered as a nutrition, education in State College, Pennsylvania and active in the NPI registry since February 2021. The organization lists Mary Kathryn Gowdy, Clinical Nutritionist, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Purely Rooted Nutrition And Wellness is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Purely Rooted Nutrition And Wellness, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Purely Rooted Nutrition And Wellness's NPI number?
The NPI number for Purely Rooted Nutrition And Wellness is 1528651064. It was assigned to this organization in the NPPES registry on February 16, 2021.
Where is Purely Rooted Nutrition And Wellness located?
Purely Rooted Nutrition And Wellness is located at 850 Galen Dr, State College, PA 16803. The listed phone number is (814) 777-8919.
What is Purely Rooted Nutrition And Wellness's specialty?
The primary specialty registered for this NPI is Nutritionist, specializing in Nutrition, Education, with taxonomy code 133NN1002X.
Is Purely Rooted Nutrition And Wellness enrolled in Medicare?
Yes. Purely Rooted Nutrition And Wellness is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Purely Rooted Nutrition And Wellness?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Registered Dietitian or Nutrition Professional) reassigns their Medicare billing to Purely Rooted Nutrition And Wellness. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Purely Rooted Nutrition And Wellness was last updated on February 16, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.
# Purely Rooted Nutrition And Wellness · NPI 1528651064
Nutrition, Education organization in State College, Pennsylvania. Organization record, active in the CMS NPPES registry since February 16, 2021.
## Identity
- **NPI:** 1528651064 (Entity type: Organization)
- **Enumerated:** February 16, 2021
- **Primary specialty:** Nutritionist - Nutrition, Education · taxonomy 133NN1002X
- **Also known as:** Purely Rooted Nutrition and Wellness (Other Name)
- **Organization subpart:** No
- **Authorized official:** Mary Gowdy, CLINICAL NUTRITIONIST
## Practice location
- **Address:** 850 GALEN DR, State College, PA 16803-1164
- **Phone:** (814) 777-8919
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Registered Dietitian or Nutrition Professional) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 16, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1528651064) · Data from the CMS NPPES public registry.