CARRIE GUSTAFSON (NPI# 1306435169) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306435169 |
| Entity Type | Individual |
| Full Name | MRS. CARRIE GUSTAFSON |
| Gender | Female |
| Credential | RDN, LD |
| Practice Address | 915 S Laredo St Unit 200 San Antonio TX 78204-3211 |
| Practice Telephone | 5205605583 |
| Mailing Address | 530 Paradise Hls New Braunfels TX 78132-2320 |
| Mailing Telephone | 5205605583 |
| Certification Date | 2021-01-19 |
| Enumeration Date | 2021-01-15 |
| Last Update Date | 2021-01-19 |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | Taxonomy Group | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|---|
| N | 133V00000X | Dietitian, Registered | DT86371 | TX | Dietary & Nutritional Service Providers | |
| Y | 133VN1005X | Dietitian, Registered Specialization: Nutrition, Renal | DT86371 | TX | Dietary & Nutritional Service Providers |
| Street Address | 915 S LAREDO ST UNIT 200 |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78204-3211 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306485164 | Kimberly S. Peters | Nurse Practitioner · Family | 915 S Laredo St, San Antonio, TX 78204-3211 | 2019-12-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235735507 | Cody Hanover | Pharmacy Technician | 704 S Santa Rosa, San Antonio, TX 78204 | 2020-12-10 |
| 1255811923 | Marina Alvizo Ramirez | Licensed Vocational Nurse | 117 City, San Antonio, TX 78204 | 2018-08-21 |
| 1952766735 | Wendy Faldet | Pharmacist | 646 S. Flores St, San Antonio, TX 78204 | 2015-12-22 |
| 1336558451 | H-E-B, Lp · Heb Pharmacy #699 | Clinical Medical Laboratory | 1601 Nogalitos, San Antonio, TX 78204 | 2014-08-04 |
| 1194921056 | H-E-B, Lp | Preventive Medicine · Public Health & General Preventive Medicine | 646 South Flores, San Antonio, TX 78204 | 2007-06-26 |
| 1437602489 | H-E-B, Lp · H-E-B Optical | Eyewear Supplier | 646 S Flores St, San Antonio, TX 78204 | 2016-07-26 |
| 1093170383 | H-E-B, Lp | Clinic/Center · Health Service | 646 S Main Ave, San Antonio, TX 78204 | 2015-12-31 |
| 1477628394 | El Centro Del Barrio, Inc. · Dwyer Avenue Clinic | Clinic/Center · Federally Qualified Health Center (FQHC) | 307 Dwyer Ave, San Antonio, TX 78204-1101 | 2006-11-24 |
| 1023216991 | Alfonso L. Lopez | Counselor · Mental Health | 302 S Flores St, San Antonio, TX 78204-1106 | 2007-07-03 |
| 1114050010 | Preferred Family Healthcare | Clinic/Center · Rehabilitation, Substance Use Disorder | 306 S Flores St, San Antonio, TX 78204-1106 | 2007-03-13 |
| Find all providers in zip 78204 | ||||
| Taxonomy Code | 133VN1005X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| Specialization | Nutrition, Renal |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578114104 | Taryn Celeste Prado | 15303 Huebner Rd Ste 15, San Antonio, TX 78248-0983 | 2019-09-25 | |
| 1518138585 | Chelsea Rae Silay · Chelsea Rae Finch | 7940 Floyd Curl Dr, Suite 260, San Antonio, TX 78229-3905 | 2008-03-18 | |
| 1104000298 | Renny Samuel-Worsham | 4204 Gardendale St, Ste 106, San Antonio, TX 78229-3138 | 2007-12-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447840681 | Traci Layne Miller | 2465 Fm 1799, Mineola, TX 75773-4067 | 2021-01-21 | |
| 1417544685 | Tokiko H Parker | 812 Cross Branch Dr, Schertz, TX 78154-2848 | 2020-12-22 | |
| 1700383866 | Kelsey Schoenbacher | 5502 Saratoga Blvd Apt 128, Corpus Christi, TX 78413-2964 | 2018-04-06 | |
| 1801336714 | Alexandra Olguin | 2713 Blake St, Austin, TX 78748-3951 | 2017-02-27 | |
| 1821447780 | Healthbex · Bioenergetix | 4006 Cherokee Dr, Donna, TX 78537-5844 | 2016-06-10 | |
| 1700231610 | Muriel Doyle | 16959 Southwest Fwy Ste 200, Sugar Land, TX 77479-3481 | 2016-04-28 | |
| 1477939395 | Ellis Avery Morrow | 11134 Sheldon Bend Dr, Richmond, TX 77406-7290 | 2015-08-03 | |
| 1407275712 | International Nephrology Consulting LLC | 6549 Copperfield Ln, Plano, TX 75023-3464 | 2014-04-15 | |
| 1285068627 | Angela Dawn Coleman | 3402 Brookshire Run, Corinth, TX 76210-4153 | 2013-08-21 | |
| 1447691381 | Kim R Wright | Scott & White Healthcare, 2401 S. 31st St., Temple, TX 76508-0001 | 2013-07-08 | |
| Find all providers in the same taxonomy | ||||
| City | SAN ANTONIO |
| Zip Code | 78204 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306975784 | Judith M Gustafson · J Mariana Gustafson | Massage Therapist | 6231 188th St Sw, Lynnwood, WA 98037-7250 | 2007-03-03 |
| 1114587664 | Suze Gustafson · Suzanne Gustafson | Behavior Technician | 515 S 700 E, Salt Lake City, UT 84102-2142 | 2019-06-17 |
| 1578707451 | Kate Schoolwerth Gustafson · Kate Robinson Gustafson | Internal Medicine · Nephrology | 3710 Sw Us Veterans Hospital Rd # P3neph, Portland, OR 97239-2964 | 2009-04-23 |
| 1689742777 | Sharon Gustafson Jones · Sharon Gustafson Martinez | Registered Nurse · Psychiatric/Mental Health, Adult | 14150 Parkeast Cir, Suite 200, Chantilly, VA 20151-2295 | 2006-11-30 |
| 1154426922 | Linda K Gustafson · Linda K Gustafson | Psychologist · Clinical | 8170 Mc Cormick Blvd, C/O Davken #204, Skokie, IL 60076-2920 | 2006-09-14 |
| 1205856184 | Shanna Lea Gustafson Capen · Shanna Gustafson | Genetic Counselor, MS | 360 Central Ave, Suite 1230, St Petersburg, FL 33701-3857 | 2006-07-20 |
| 1639163199 | Lesley A Gustafson · Lesley A Nego-Gustafson | Advanced Practice Midwife | 140 Grandview Ave, Suite 202, Waterbury, CT 06708 | 2005-09-09 |
| 1144525627 | Nancy J Gustafson Luthi · Nancy J Gustafson | Dietitian, Registered | 2101 Elm St N, Fargo, ND 58102-2417 | 2011-01-14 |
| 1518124312 | Gustafson & Morningstar Dds PC · Gustafson Morningstar Dentistry | Dentist · General Practice | 940 E 11 Mile Rd, Royal Oak, MI 48067-1968 | 2008-05-20 |
| 1366464471 | Colleen Gustafson Espenschied · Colleen Gustafson | Physician Assistant · Surgical | 2017 1st Ave, San Diego, CA 92101-2033 | 2006-07-25 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.