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GUT GLOW LLC NPI 1447026125


NPI Information

NPI: 1447026125
Provider Name: GUT GLOW LLC
Classification: Dietitian, Registered - 133V00000X
Entity Type: Organization
Address:
411 CONGRESS ST
PORTLAND, ME
ZIP 04101
Phone: (650) 248-4863
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GUT GLOW LLC is a dietitian registered in Portland, ME. 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. GUT GLOW LLC NPI is 1447026125. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

411 CONGRESS ST
PORTLAND, ME
ZIP 04101-505
Phone: (650) 248-4863

The provider's authorized official is Lynda Flavia Lawrence .
The authorized official title is Lead Dietitian and has the following contact phone number (650) 248-4863.

The enumeration date for this NPI number is 12/4/2023 and was last updated on 12/4/2023.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1133VN1004XDietitian, RegisteredNutrition, PediatricNo
2133VN1005XDietitian, RegisteredNutrition, RenalNo
3133VN1006XDietitian, RegisteredNutrition, MetabolicNo
4133VN1201XDietitian, RegisteredNutrition, Obesity and Weight ManagementNo
5133VN1501XDietitian, RegisteredNutrition, Sports DieteticsNo
6133V00000XDietitian, RegisteredYes

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: 5/5/2024

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