Ellen P Gander, RD, LDN, CEDRD-S

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

LOO4531 Issued in NC

Practice address

1042 Washington St
Raleigh, NC 27605-1258

Phone

(919) 781-4500

NPI assigned

Dec 15, 2020

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

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Oct 25, 2023 through Oct 25, 2027

Medicare enrollment (NPD)

Not 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 and National Provider Directory roles.

• Lutz & Alexander Nutrition Therapy

  • Registered Dietitian
  • Raleigh, NC
  • NPI 1902457856

  Dietitian, Registered

  NPD (past)

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

{
    "created_epoch": "1607990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607990400000",
    "number": "1376139204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5944 DUNBARTON WAY",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276136856",
            "telephone_number": "513-293-8506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1042 WASHINGTON ST",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276051258",
            "telephone_number": "919-781-4500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GANDER",
        "first_name": "ELLEN",
        "middle_name": "P",
        "credential": "RD, LDN, CEDRD-S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-15",
        "last_updated": "2020-12-15",
        "certification_date": "2020-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NC",
            "license": "LOO4531",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard Lamar Gamble II, ASW
• Seriana Gamble, LMCHA
• Luis Fernando Gamboa, DMD
• Charles Michael Gammon, M.D., PH.D.
• Pooja Ganatra
• Kaushal Dhingra Gandhi
• Haley Grace Gandsey, PNP
• Ganglani Raleigh PLLC
• Ganglani Raven Ridge of Raleigh PLLC
• Sri Nidhi Ganji, MD

• Registered Dietitian in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Registered Dietitian in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.