- Practice location
- 411 Congress St, Portland, ME 04101-3505
- Phone
- 650-248-4863
- Fax
- —
- Last updated
- December 4, 2023
Gut Glow LLC is a healthcare organization based in Portland, ME. Gut Glow LLC practices in Portland, ME. The NPI Number for Gut Glow LLC is 1447026125. The current practice location address for Gut Glow LLC is 411 Congress St, Portland, ME 04101-3505 and can be reached out via phone at 650-248-4863.
Provider Profile Details
- NPI Number
- 1447026125
- Provider Name
- Gut Glow LLC
- Provider Entity Type
- Organization
- Address
- 411 Congress St, Portland, ME 04101-3505
- Phone Number
- 650-248-4863
- Primary Taxonomy
- Dietitian, Registered · 133V00000X
- Organization Subpart
- No
- Authorized Official
- Lynda Flavia Lawrence, RDN, LDN · Lead Dietitian · 650-248-4863
- Provider Enumeration Date
- December 4, 2023
- Last Update Date
- December 4, 2023
- Certification Date
- December 3, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 411 Congress St
Portland, ME 04101-3505 - City
- Portland
- State
- Maine
- Zip
- 04101-3505
- Phone Number
- 650-248-4863
Provider Business Mailing Address Details
- Address
- 635 W 170TH St Apt 2E
New York, NY 10032-3226 - City
- New York
- State
- NY
- Zip
- 10032-3226
- Phone Number
- 650-248-4863
License Information
- Taxonomy (1)
- Dietitian, Registered, Nutrition, Pediatric · 133VN1004X
- Taxonomy (2)
- Dietitian, Registered, Nutrition, Renal · 133VN1005X
- Taxonomy (3)
- Dietitian, Registered, Nutrition, Metabolic · 133VN1006X
- Taxonomy (4)
- Dietitian, Registered, Nutrition, Obesity and Weight Management · 133VN1201X
- Taxonomy (5)
- Dietitian, Registered, Nutrition, Sports Dietetics · 133VN1501X
- Taxonomy (6)
- 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 Portland, ME
View all Dietitian, Registered providers in Portland →- Alyssa L Russell, RDN, LDDietitian, Registered · NPI 1972177863
- Amy B Joyce, MS, RD, LD, CNSCDietitian, Registered · NPI 1063484111
- Anne Lapierre, MS, LD, RDDietitian, Registered · NPI 1255721627
- Annie Allnutt, RDDietitian, Registered · NPI 1083528863
- Caroline Bennett, RDN, LDDietitian, Registered · NPI 1740003672
- Caroline M Bowman, RDDietitian, Registered · NPI 1871740944
Frequently Asked Questions
What is the NPI number of Gut Glow LLC?
The NPI number of Gut Glow LLC is 1447026125. It was assigned on December 4, 2023 and is currently active in the NPPES registry.
What is the specialty of Gut Glow LLC?
Gut Glow LLC is registered under the primary taxonomy Dietitian, Registered (code 133V00000X).
Where does Gut Glow LLC practice?
The practice location is 411 Congress St, Portland, ME 04101-3505. The office can be reached at 650-248-4863 (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 1447026125 directly on the NPPES registry website.