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BEVERLY G GARDNER LDN NPI 1760552947


NPI Information

NPI: 1760552947
Provider Name: BEVERLY G GARDNER, LDN
Classification: Dietitian, Registered - 133V00000X
Entity Type: Individual
Organization: PRIVATE DIAGNOSTIC CLINIC, PLLC Address:
407 CRUTCHFIELD ST
DURHAM, NC
ZIP 27704
Phone: (919) 470-6516
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Beverly G Gardner, LDN is a dietitian registered in Durham, NC with 36 years of experience. 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. Beverly G Gardner, LDN NPI is 1760552947. 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:

407 CRUTCHFIELD ST
DURHAM, NC
ZIP 27704-726
Phone: (919) 470-6516

The enumeration date for this NPI number is 11/8/2006 and was last updated on 5/25/2016.


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
1133N00000XNutritionistL000559SOUTH CAROLINANo
2133NN1002XNutritionistNutrition, EducationL000559NORTH CAROLINANo
3133V00000XDietitian, RegisteredL000559NORTH CAROLINAYes

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
12993467MEDICARE ID-TYPE UNSPECIFIEDNORTH CAROLINA

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

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