GWENDOLYN ANN WITTENBROOK MA RD CSP LD NPI 1427432731

NPI Information

  • NPI: 1427432731
  • Provider Name: GWENDOLYN ANN WITTENBROOK, MA, RD, CSP, LD
  • Classification: Dietitian, Registered - 133V00000X
  • Entity Type: Individual
  • Address: 12606 GREENVILLE AVE STE 200
    DALLAS, TX
    ZIP 75243
  • Phone: (469) 780-4590

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NPI Details

Gwendolyn Ann Wittenbrook, MA, RD, CSP, LD is a dietitian registered in Dallas, TX. 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. Gwendolyn Ann Wittenbrook, MA, RD, CSP, LD NPI is 1427432731. 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:

12606 GREENVILLE AVE STE 200
DALLAS, TX
ZIP 75243-923
Phone: (469) 780-4590
Fax: (972) 437-1988

The enumeration date for this NPI number is 7/16/2015 and was last updated on 11/19/2025.

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, RegisteredDT05870COLORADOYes
2133VN1004XDietitian, RegisteredNutrition, PediatricDT05780TEXASNo

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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