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

Jacob Gorham, MS, RD, LD, NASM-CPT

Individual provider Registered Dietitian · NPI 1396579967

Jacob Gorham, MS, RD, LD, NASM-CPT is a Registered Dietitian in State College, Pennsylvania. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
MS — Master of Science
A graduate science degree.
RD — Registered Dietitian
A credentialed nutrition professional.
LD — Licensed Dietitian
A dietitian licensed by a state board.

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Practice location Address checks out

424 W Aaron Dr
State College, PA 16803-3043
Phone: (814) 234-1625
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X

Record details

NPI number1396579967
Entity typeIndividual (Type 1)
GenderMale
Credentials MS , RD , LD , NASM-CPT
Sole proprietorNo
NPI enumeratedAugust 27, 2024
Last updated in NPPESAugust 27, 2024
Certification dateAugust 24, 2024
Mailing address1000 W Aaron Dr Apt H07, State College, PA 16803-3151

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