Individual provider Active NPI

Gisele Kuhlmann Duarte Rodrigues

  • Nutritionist
  • Palm Springs, FL
National Provider Identifier
1023742509
Registry record updated Jul 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
NutritionistTaxonomy code 133N00000X
License
9499 Issued in FL
Practice address
3060 Melaleuca LN
Palm Springs, FL 33461-5174
Phone
(561) 357-7200
NPI assigned
Jul 12, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 12, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
NutritionistGroup: 193200000X MULTI-SPECIALTY GROUP 133N00000X 9499 FL Primary

Addresses

Primary practice location

3060 Melaleuca LN
Palm Springs, FL 33461-5174

Mailing address

892 SW 9TH Street Cir Apt 4
Boca Raton, FL 33486-5226
Phone (561) 596-2497

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
9499FLMDNutritionist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1657584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657584000000",
    "number": "1023742509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "892 SW 9TH STREET CIR APT 4",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334865226",
            "telephone_number": "561-596-2497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3060 MELALEUCA LN",
            "city": "PALM SPRINGS",
            "state": "FL",
            "postal_code": "334615174",
            "telephone_number": "561-357-7200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUHLMANN DUARTE RODRIGUES",
        "first_name": "GISELE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-12",
        "last_updated": "2022-07-12",
        "certification_date": "2022-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nutritionist",
            "state": "FL",
            "license": "9499",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.