OrganizationActive
St. Agnes Healthcare, Inc.
NPI 1780225326 · Obesity and Weight Management Nutrition Registered Dietitian · Baltimore, MD
Provider details
- NPI number
- 1780225326
- Entity type
- Organization
- Primary specialty
- Obesity and Weight Management Nutrition Registered DietitianDietary & Nutritional Service Providers
- Parent organization
- St. Agnes Healthcare, Inc.
- Organization subpart
- Yes
- Authorized official
- Edward Lovern, President/Ceo(667) 234-2105
Specialties & taxonomies
Dietary & Nutritional Service Providers
- Counselor101Y00000X
Behavioral Health & Social Service Providers
- Registered Dietitian133V00000X
Dietary & Nutritional Service Providers
Practice location
900 Caton Ave
Baltimore, MD 21229-5201
Phone: (667) 234-3244
Approximate (ZIP-level) locationGet directions
Mailing address
3585 Washington Blvd
Halethorpe, MD 21227-1676
Other names (DBA / former)
- Other name
- St Agnes Diabetes Prevention Program
- Other name
- St Agnes Diabetes Prevention Program
Registry dates
- Enumerated
- 2019-10-04
- Last updated
- 2021-06-23
- Certified
- 2021-06-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.