CARRIE GUSTAFSON
Dietitian, Registered

Address: 915 S Laredo St Unit 200, San Antonio, TX 78204-3211

CARRIE GUSTAFSON (NPI# 1306435169) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

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

Taxonomy

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

Office Location

Street Address 915 S LAREDO ST UNIT 200
City SAN ANTONIO
State TX
Zip Code 78204-3211

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1306485164 Kimberly S. Peters Nurse Practitioner · Family 915 S Laredo St, San Antonio, TX 78204-3211 2019-12-27

Providers in the same zip code prefix

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
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Taxonomy Information

Taxonomy Code 133VN1005X
Grouping Dietary & Nutritional Service Providers
Classification Dietitian, Registered
Specialization Nutrition, Renal

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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
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Competitor

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City SAN ANTONIO
Zip Code 78204

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Dataset Information

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.