Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Geisinger Clinic

Organization Gerontological Nutrition Registered Dietitian · NPI 1043261183

Geisinger Clinic is a Gerontological Nutrition Registered Dietitian in Pottsville, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2006.

Licensed in
PA
In the registry since
2006
Specialties on file
9

Practice location Address checks out

529 Terry Reiley Way
Pottsville, PA 17901
Phone: (570) 624-4444
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X
Gerontological Nutrition Registered Dietitian Taxonomy 133VN1101X
Clinical Pathology/Laboratory Medicine Physician Taxonomy 207ZP0105X
Pediatrics Physician Taxonomy 208000000X
Diagnostic Radiology Physician Taxonomy 2085R0202X
Clinical Medical Laboratory Taxonomy 291U00000X (PA)
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X
Physician Assistant Taxonomy 363A00000X
Nurse Practitioner Taxonomy 363L00000X

Record details

NPI number1043261183
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Cindy Mull — System Director Enrollments · (570) 271-6603
NPI enumeratedMay 13, 2006
Last updated in NPPESMarch 16, 2023
Certification dateMarch 16, 2023
Mailing address100 N Academy Ave, Danville, PA 17822-9800