Active NPI
Lorena Gonzalez, RDN
- Registered Dietitian
- Knoxville, TN
National Provider Identifier
1063269967
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- DI61552513
- Practice address
- 6804 Hunters TRL
Knoxville, TN 37921-1073 - Phone
- (865) 404-0491
- NPI assigned
- Apr 30, 2024
- Last updated
- Aug 28, 2025
- 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 | LDN000004807 | TN | |
| Registered Dietitian | 133V00000X | DI61552513 | WA | Primary |
Addresses
Primary practice location
6804 Hunters TRL
Knoxville, TN 37921-1073
Mailing address
6804 Hunters TRL
Knoxville, TN 37921-1073
Phone (865) 404-0491
Other practice location 1
417 Methow street s
twisp, WA 98856
Phone (865) 404-0491
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 |
|---|---|---|---|
| LDN000004807 | TN | MD | Registered Dietitian |
| DI61552513 | WA | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fay Nutrition | Dietitian, Registered | Past | Accepting new patients |
| Nourish, Inc. | Dietitian, Registered | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1714435200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1756339200000",
"number": "1063269967",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6804 HUNTERS TRL",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379211073",
"telephone_number": "865-404-0491"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6804 HUNTERS TRL",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379211073",
"telephone_number": "865-404-0491"
}
],
"practiceLocations": [
{
"address_1": "417 Methow street s",
"address_purpose": "LOCATION",
"city": "twisp",
"state": "WA",
"postal_code": "98856",
"country_code": "US",
"telephone_number": "865-404-0491",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GONZALEZ",
"first_name": "LORENA",
"credential": "RDN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-04-30",
"last_updated": "2025-08-28",
"certification_date": "2025-07-03",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "TN",
"license": "LDN000004807",
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "WA",
"license": "DI61552513",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Knoxville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.