Ms. Katie J Gustavesen, RD LDN CDN
Dietitian, Registered in Manchester, Connecticut
1851522650- Practice location
- 71 Haynes St, Manchester, CT 06040-4131
- Phone
- 860-680-1815
- Fax
- —
- Last updated
- June 14, 2021
Katie J Gustavesen is a Dietitian, Registered based in Manchester, CT. Katie J Gustavesen practices in Manchester, CT and has the professional credentials of RD LDN CDN. The NPI Number for Katie J Gustavesen is 1851522650 and holds a License No. 137502846 (CT). The current practice location address for Katie J Gustavesen is 71 Haynes St, Manchester, CT 06040-4131 and can be reached out via phone at 860-680-1815.
Provider Profile Details
- NPI Number
- 1851522650
- Provider Name
- Katie J Gustavesen
- Credential
- RD LDN CDN
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 71 Haynes St, Manchester, CT 06040-4131
- Phone Number
- 860-680-1815
- Primary Taxonomy
- Dietitian, Registered · 133V00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- July 29, 2009
- Last Update Date
- June 14, 2021
- Certification Date
- June 3, 2021
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 71 Haynes St
Manchester, CT 06040-4131 - City
- Manchester
- State
- Connecticut
- Zip
- 06040-4131
- Phone Number
- 860-680-1815
Provider Business Mailing Address Details
- Address
- 71 Haynes St
Manchester, CT 06040-4131 - City
- Manchester
- State
- CT
- Zip
- 06040-4131
- Phone Number
- 860-680-1815
License Information
- License Number
- 137502846
- 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. | |||
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- Catherine N St.charles, RDDietitian, Registered · NPI 1275867954
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Frequently Asked Questions
What is the NPI number of Ms. Katie J Gustavesen, RD LDN CDN?
The NPI number of Ms. Katie J Gustavesen, RD LDN CDN is 1851522650. It was assigned on July 29, 2009 and is currently active in the NPPES registry.
What is the specialty of Ms. Katie J Gustavesen, RD LDN CDN?
Ms. Katie J Gustavesen, RD LDN CDN is registered under the primary taxonomy Dietitian, Registered (code 133V00000X), licensed in CT under license number 137502846.
Where does Ms. Katie J Gustavesen, RD LDN CDN practice?
The practice location is 71 Haynes St, Manchester, CT 06040-4131. The office can be reached at 860-680-1815 (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 1851522650 directly on the NPPES registry website.