MRS. CARRIE GUSTAFSON RDN LD NPI 1306435169

NPI Information

  • NPI: 1306435169
  • Provider Name: MRS. CARRIE GUSTAFSON, RDN, LD
  • Classification: Dietitian, Registered - 133VN1005X
  • Specialization: Nutrition, Renal
  • Entity Type: Individual
  • Address: 915 S LAREDO ST UNIT 200
    SAN ANTONIO, TX
    ZIP 78204
  • Phone: (520) 560-5583

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NPI Details

MRS. Carrie Gustafson, RDN, LD is a nutrition and renal dietitian registered in San Antonio, TX. The provider is an individual who is a Board Certified Specialist in Renal Nutrition and works directly with adult and/or pediatric patients with acute kidney injury, chronic kidney disease (CKD) stages 1-5, or receiving renal replacement therapies (dialysis/transplant) in a variety of settings, OR works indirectly in management, education, or research practice linked specifically to renal nutrition. The specialist in renal/nephrology nutrition is responsible for nutrition assessment, diagnosis, intervention, monitoring, and evaluation. MRS. Carrie Gustafson, RDN, LD NPI is 1306435169. 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:

915 S LAREDO ST UNIT 200
SAN ANTONIO, TX
ZIP 78204-211
Phone: (520) 560-5583

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Therapy procedure reassessment for nutrition management, each 15 minutes (HCPCS:97803)
  • Therapy procedure for nutrition management, each 15 minutes (HCPCS:97802)

The enumeration date for this NPI number is 1/15/2021 and was last updated on 1/19/2021.

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
1133V00000XDietitian, RegisteredDT86371TEXASNo
2133VN1005XDietitian, RegisteredNutrition, RenalDT86371TEXASYes

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: 11/21/2025

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