Mackenzie Gordon, RDN
Dietitian, Registered in Fairfield, Connecticut
1093348856- Practice location
- 1073 N Benson RD, Fairfield, CT 06824-5171
- Phone
- 617-721-1544
- Fax
- —
- Last updated
- February 19, 2020
Mackenzie Gordon is a Dietitian, Registered based in Fairfield, CT. Mackenzie Gordon practices in Fairfield, CT and has the professional credentials of RDN. The NPI Number for Mackenzie Gordon is 1093348856 and holds a License No. 1506 (CT). The current practice location address for Mackenzie Gordon is 1073 N Benson RD, Fairfield, CT 06824-5171 and can be reached out via phone at 617-721-1544.
Provider Profile Details
- NPI Number
- 1093348856
- Provider Name
- Mackenzie Gordon
- Credential
- RDN
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 1073 N Benson RD, Fairfield, CT 06824-5171
- Phone Number
- 617-721-1544
- Primary Taxonomy
- Dietitian, Registered · 133V00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- February 19, 2020
- Last Update Date
- February 19, 2020
- Certification Date
- February 19, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1073 N Benson RD
Fairfield, CT 06824-5171 - City
- Fairfield
- State
- Connecticut
- Zip
- 06824-5171
- Phone Number
- 617-721-1544
Provider Business Mailing Address Details
- Address
- 28 Saddle RD
Norwalk, CT 06851-3230 - City
- Norwalk
- State
- CT
- Zip
- 06851-3230
License Information
- License Number
- 1506
- License State
- CT
- Taxonomy
- Dietitian, Registered · 133V00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Dietitian, Registered providers near Fairfield, CT
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- Ashley Jerry, RDNDietitian, Registered · NPI 1568312783
- Courtney M Sansonetti, RDDietitian, Registered · NPI 1174691455
- Elise Fisher, MS, RDDietitian, Registered · NPI 1649973272
- Fairfield County Lifestyle Consultants, LLCDietitian, Registered · NPI 1003248311
- Lpm Nutrition & Wellness LLCDietitian, Registered · NPI 1770402315
Frequently Asked Questions
What is the NPI number of Mackenzie Gordon, RDN?
The NPI number of Mackenzie Gordon, RDN is 1093348856. It was assigned on February 19, 2020 and is currently active in the NPPES registry.
What is the specialty of Mackenzie Gordon, RDN?
Mackenzie Gordon, RDN is registered under the primary taxonomy Dietitian, Registered (code 133V00000X), licensed in CT under license number 1506.
Where does Mackenzie Gordon, RDN practice?
The practice location is 1073 N Benson RD, Fairfield, CT 06824-5171. The office can be reached at 617-721-1544 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1093348856 directly on the NPPES registry website.