Suzanne E Gauldin, LD/RD

Primary specialty

Metabolic Nutrition Registered DietitianTaxonomy code 133VN1006X

License

764 Issued in OK

Practice address

12906 E 106TH St N
Owasso, OK 74055-5909

Phone

(918) 698-0965

NPI assigned

Mar 12, 2012

Last updated

Nov 4, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• A Healing Connection Psychological

  dba A Healing Connection Psychological Services PLLC

  • Psychologist
  • Owasso, OK
  • NPI 1780172320
  NPD
• New Leaf Institute PLLC

  • Health Service Psychologist
  • Owasso, OK
  • NPI 1295130508
  NPD (past)
• Fay Nutrition

  • Registered Dietitian
  • San Francisco, CA
  • NPI 1104334465
  NPD (past)
• Mochi Medical Ca PC

  dba Mochi Medical West

  • Obesity Medicine (Family Medicine) Physician
  • San Francisco, CA
  • NPI 1174303374
  NPD (past)

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

{
    "created_epoch": "1331510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730678400000",
    "number": "1104191931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12906 E 106TH ST N",
            "city": "OWASSO",
            "state": "OK",
            "postal_code": "740555909",
            "telephone_number": "918-698-0965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12906 E 106TH ST N",
            "city": "OWASSO",
            "state": "OK",
            "postal_code": "740555909",
            "telephone_number": "918-698-0965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAULDIN",
        "first_name": "SUZANNE",
        "middle_name": "E",
        "credential": "LD/RD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-03-12",
        "last_updated": "2024-11-04",
        "certification_date": "2024-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133VN1006X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Metabolic",
            "state": "OK",
            "license": "764",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gavin Vanwey Gardner, DO
• Tiffany Gardner, OT
• Brittany Layne Garoutte, LPC
• Aislynn Garrett
• Kathleen M Gary, RN, BCBA, LBA
• Eddie Duane Gaut
• Lisa Geissler
• Gem Expansive Services, LLC (Gem-X)
• Genscripts Owasso, LLC (Genscripts Pharmacy #3)
• Geriatric Advanced Preventive Services

• Metabolic Nutrition Registered Dietitian in Owasso, OK
• Providers in Owasso, OK by specialty
• Metabolic Nutrition Registered Dietitian in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.