Erica Leigh Gutierrez, RDN
Individual provider Active NPI Registered Dietitian · Elm Grove, WI
NPI 1285495366 · NPPES record last updated Jan 17, 2024
Key facts
- NPI
- 1285495366
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- License
- 2120 (WI)
- Practice address
- 820 Terrace Dr
Elm Grove, WI 53122-2032 - Phone
- (920) 851-6431
- NPI assigned
- Jan 17, 2024
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obesity and Weight Management Nutrition Registered Dietitian | 133VN1201X | 2120 | WI | |
| Registered Dietitian | 133V00000X | 2120 | WI | Yes |
Addresses
Primary practice location
820 Terrace Dr
Elm Grove, WI 53122-2032
Mailing address
820 Terrace Dr
Elm Grove, WI 53122-2032
Phone (920) 851-6431
Other providers in Elm Grove, WI
- Jamie L Greisinger
- Grey Matters Counseling LLC
- Tammy M Groszczyk
- Roxanne Marie Guenther
- Gundersen Lutheran Medical Center Inc
- Angela Denise Harris
- Kevin A Harry
- Christine Haselhorst
- Carol Therese Haughey
- James R. Hayes
All providers in Elm Grove, WI · Registered Dietitian in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 17, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.