Active NPI
Susan Lynn Gautier, RD,LD
- Registered Dietitian
- New Braunfels, TX
National Provider Identifier
1295010395
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- DT03815
- Practice address
- 1860 S Seguin Ave
New Braunfels, TX 78130-3913 - Phone
- (210) 448-7700
- Fax
- (210) 448-7703
- NPI assigned
- Oct 20, 2011
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | DT03815 | TX | Primary |
Addresses
Primary practice location
1860 S Seguin Ave
New Braunfels, TX 78130-3913
Mailing address
1860 S Seguin Ave
New Braunfels, TX 78130-3913
Phone (830) 620-0092
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DT03815 | TX | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Allied Institute of Medicine, PLLC | 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.
-
- Family Medicine Physician
- San Antonio, TX
- NPI 1023028669
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1319068800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1319068800000",
"number": "1295010395",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1860 S SEGUIN AVE",
"city": "NEW BRAUNFELS",
"state": "TX",
"postal_code": "781303913",
"telephone_number": "830-620-0092",
"fax_number": "830-626-5536"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1860 S SEGUIN AVE",
"city": "NEW BRAUNFELS",
"state": "TX",
"postal_code": "781303913",
"telephone_number": "210-448-7700",
"fax_number": "210-448-7703"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAUTIER",
"first_name": "SUSAN",
"middle_name": "LYNN",
"name_prefix": "Mrs.",
"credential": "RD,LD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-10-20",
"last_updated": "2011-10-20",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "TX",
"license": "DT03815",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New Braunfels, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.