Active NPIIndividual provider

Ms. Gwendolyn M Eagan, MS, RD

Dietitian, Registered in North Bennington, Vermont

NPI Number1689383820
Practice location
11 West St, North Bennington, VT 05257-9405
Fax
—
Last updated
May 11, 2026

Gwendolyn Marie Eagan is a Dietitian, Registered based in North Bennington, VT. Gwendolyn Marie Eagan practices in North Bennington, VT and has the professional credentials of MS, RD. The NPI Number for Gwendolyn Marie Eagan is 1689383820 and holds a License No. 86168971 (NY). The current practice location address for Gwendolyn Marie Eagan is 11 West St, North Bennington, VT 05257-9405 and can be reached out via phone at 518-593-3318.

Provider Profile Details

NPI Number
1689383820
Provider Name
Gwendolyn Marie Eagan
Credential
MS, RD
Provider Entity Type
Individual
Gender
Female
Address
11 West St, North Bennington, VT 05257-9405
Phone Number
518-593-3318
Primary Taxonomy
Dietitian, Registered · 133V00000X
Sole Proprietor
No
Provider Enumeration Date
November 16, 2022
Last Update Date
May 11, 2026
Certification Date
November 16, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
11 West St
North Bennington, VT 05257-9405
State
Vermont
Zip
05257-9405
Phone Number
518-593-3318
North Bennington, VT 05257Get directions →

Provider Business Mailing Address Details

Address
11 West St
North Bennington, VT 05257-9405
City
North Bennington
State
VT
Zip
05257-9405
Phone Number
518-593-3318

License Information

License Number
86168971
License State
NY
Taxonomy
Dietitian, Registered · 133V00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Ms. Gwendolyn M Eagan, MS, RD?

The NPI number of Ms. Gwendolyn M Eagan, MS, RD is 1689383820. It was assigned on November 16, 2022 and is currently active in the NPPES registry.

What is the specialty of Ms. Gwendolyn M Eagan, MS, RD?

Ms. Gwendolyn M Eagan, MS, RD is registered under the primary taxonomy Dietitian, Registered (code 133V00000X), licensed in NY under license number 86168971.

Where does Ms. Gwendolyn M Eagan, MS, RD practice?

The practice location is 11 West St, North Bennington, VT 05257-9405. The office can be reached at 518-593-3318 (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 1689383820 directly on the NPPES registry website.

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