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BONNIE L. GUNCKEL RD LD NPI 1053353458


NPI Information

NPI: 1053353458
Provider Name: BONNIE L. GUNCKEL, RD LD
Classification: Dietitian, Registered - 133V00000X
Entity Type: Individual
Address:
4210 FLAGSTAFF CV
FORT WAYNE, IN
ZIP 46815
Phone: (260) 489-9009
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Bonnie L. Gunckel, RD LD is a dietitian registered in Fort Wayne, IN. The provider is a Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation. Bonnie L. Gunckel, RD LD NPI is 1053353458. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4210 FLAGSTAFF CV
FORT WAYNE, IN
ZIP 46815-417
Phone: (260) 489-9009
Fax: (260) 489-5057

The enumeration date for this NPI number is 6/11/2006 and was last updated on 12/17/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1133V00000XDietitian, Registered2001OHIONo
2133V00000XDietitian, Registered37000176AINDIANAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1GUMT02421MEDICARE ID-TYPE UNSPECIFIEDOHIOMEDICARE NUMBER
2213960CMEDICARE ID-TYPE UNSPECIFIEDINDIANAINDIANA MEDICARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.