Active NPI
Deborah Gertner, RDN
- Registered Dietitian
- Longmont, CO
National Provider Identifier
1043827264
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Practice address
- 1239 Collyer St
Longmont, CO 80501-3411 - Phone
- (720) 593-8190
- NPI assigned
- Sep 30, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | DN008632 | PA | |
| Registered Dietitian | 133V00000X | Primary |
Addresses
Primary practice location
1239 Collyer St
Longmont, CO 80501-3411
Mailing address
1239 Collyer St
Longmont, CO 80501-3411
Phone (720) 593-8190
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DN008632 | Other | PA | COMMONWEALTH OF PENNSYLVANIA- DEPARTMENT OF STATE BUREAU OF PROFESSIONAL AND OC |
| 86032801 | Other | COMMISSION ON DIETETIC REGISTRATION |
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
| License | State | Type | Specialty |
|---|---|---|---|
| DN008632 | PA | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Inspire Nutrition, Inc. | Dietitian, Registered | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1601424000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723680000000",
"number": "1043827264",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1239 COLLYER ST",
"city": "LONGMONT",
"state": "CO",
"postal_code": "805013411",
"telephone_number": "720-593-8190"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1239 COLLYER ST",
"city": "LONGMONT",
"state": "CO",
"postal_code": "805013411",
"telephone_number": "720-593-8190"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GERTNER",
"first_name": "DEBORAH",
"credential": "RDN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-09-30",
"last_updated": "2024-08-15",
"certification_date": "2024-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "PA",
"license": "DN008632",
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMMONWEALTH OF PENNSYLVANIA- DEPARTMENT OF STATE BUREAU OF PROFESSIONAL AND OC",
"identifier": "DN008632",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMMISSION ON DIETETIC REGISTRATION",
"identifier": "86032801",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Longmont, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.