Abigail Gottshall, RDN, LD, MS
Individual provider Active NPI Metabolic Nutrition Registered Dietitian · Caldwell, WV
NPI 1003376757 · NPPES record last updated Apr 19, 2024
Key facts
- NPI
- 1003376757
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Metabolic Nutrition Registered Dietitian 133VN1006X
- License
- 1666 (WV)
- Practice address
- 636 Pumpkin Run
Caldwell, WV 24925-7142 - Phone
- (304) 667-1630
- NPI assigned
- Mar 20, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1666 | WV | MD | Metabolic Nutrition Registered Dietitian |
Practice roles (2 of 4)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Optimal Outlook Nutrition LLC | Nutrition, Metabolic | Current |
Accepting new patients |
| Nourish, Inc. | Past | Accepting new patients |
Networks
- TX HMO
- TX HMO D-SNP
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Metabolic Nutrition Registered Dietitian | 133VN1006X | 1666 | WV | Yes |
Addresses
Primary practice location
636 Pumpkin Run
Caldwell, WV 24925-7142
Mailing address
636 Pumpkin Run
Caldwell, WV 24925-7142
Phone (304) 667-1630
Other providers in Caldwell, WV
- Maggie Adwell
- Jeremy Boggs
- Joyce Ann Clendenin
- Heart Center Inc
- Kayley Hepler
- Jordan Hoke
- Chelsea Lynn Honaker
- Ruth Honaker
All providers in Caldwell, WV · Metabolic Nutrition Registered Dietitian in West Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 19, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.