MARY KATHRYN GOWDY MS, CNS, LDN, CHHP
NPI 1912590449
Nutritionist in State College, PA
About Mary Kathryn Gowdy Ms, Cns, Ldn, Chhp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARY KATHRYN GOWDY MS, CNS, LDN, CHHP (NPI 1912590449) is an individual nutritionist in State College, Pennsylvania, licensed in Pennsylvania (DN007234) and active in the NPI registry since February 2021.
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mary Kathryn Gowdy Ms, Cns, Ldn, Chhp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Mary Gowdy reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
State College, PA 16803
- Reassigned Medicare billing, Pennsylvania enrollment
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
STATE COLLEGE, PA 16803
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 Mary Gowdy's NPI number?
The NPI number for Mary Gowdy is 1912590449. It was assigned to this individual provider in the NPPES registry on February 16, 2021.
Where is Mary Gowdy located?
Mary Gowdy practices at 850 Galen Dr, State College, PA 16803. The listed phone number is (814) 777-8919.
What is Mary Gowdy's specialty?
The primary specialty registered for this NPI is Nutritionist with taxonomy code 133N00000X.
Is Mary Gowdy enrolled in Medicare?
Yes. Mary Gowdy is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Mary Gowdy's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mary Gowdy reassigns Medicare benefits to Purely Rooted Nutrition And Wellness (State College, PA). The 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 Mary Gowdy's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Mary Gowdy 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.
# Mary Kathryn Gowdy, MS, CNS, LDN, CHHP · NPI 1912590449
Nutritionist provider in State College, Pennsylvania. Individual provider, active in the CMS NPPES registry since February 16, 2021.
## Identity
- **NPI:** 1912590449 (Entity type: Individual)
- **Enumerated:** February 16, 2021
- **Primary specialty:** Nutritionist · taxonomy 133N00000X
- **State license:** DN007234 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 850 GALEN DR, State College, PA 16803-1164
- **Phone:** (814) 777-8919
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Bills Medicare through:** Purely Rooted Nutrition And Wellness (NPI 1528651064, State College, PA), under Medicare reassignment (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/1912590449) · Data from the CMS NPPES public registry.