Gina Louise De Loretta, RD (REGISTERED DIETI

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

ND4634 Issued in FL

Practice address

12665 SW Gingerline Drive
Port St. Lucie, FL 34987

Phone

(240) 320-2672

NPI assigned

Jan 4, 2007

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

Other names 1

• Miss Gina Louise De Loretta Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742947200000",
    "number": "1205983970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12665 SW GINGERLINE DRIVE",
            "city": "PORT ST. LUCIE",
            "state": "FL",
            "postal_code": "34987",
            "telephone_number": "240-320-2672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12665 SW GINGERLINE DRIVE",
            "city": "PORT ST. LUCIE",
            "state": "FL",
            "postal_code": "34987",
            "telephone_number": "240-320-2672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE LORETTA",
        "first_name": "GINA",
        "middle_name": "LOUISE",
        "name_prefix": "Dr.",
        "credential": "RD (REGISTERED DIETI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-04",
        "last_updated": "2025-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "FL",
            "license": "ND4634",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GINA",
            "last_name": "DE LORETTA",
            "middle_name": "LOUISE",
            "prefix": "MISS",
            "credential": "RD (REGISTERED DIETI",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kenyel Day
• Jennifer De Gennaro Bruzon
• Melanie De Guzman, ARNP
• Marielina De la Cruz Garlobo
• Jacqueline Stephanie De la Cruz, MD
• Ingrid J De Mavarez
• Raquel Y De Oliveira, LCSW
• Kyra De Vito
• Martine Ann Decambre, D.D.S.
• Romeo Dechristofaro

• Registered Dietitian in Port St. Lucie, FL
• Providers in Port St. Lucie, FL by specialty
• Registered Dietitian in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 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.

Verify at the official NPI Registry.