Emily Gerdner, R.D., L.D.N, C.D.E

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Practice address

500 Boston Post Rd
Orange, CT 06477-3530

Phone

(609) 558-2405

Fax

(888) 855-7803

NPI assigned

Oct 22, 2012

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

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 and National Provider Directory roles.

• Emily Bostrom Nutrition PLLC

  • Clinic/Center
  • Trumbull, CT
  • NPI 1508457185
  NPD Authorized official

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

{
    "created_epoch": "1350864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591660800000",
    "number": "1386997815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "331 SHELTON RD",
            "city": "TRUMBULL",
            "state": "CT",
            "postal_code": "066115134",
            "telephone_number": "609-558-2405",
            "fax_number": "888-855-7803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 BOSTON POST RD",
            "city": "ORANGE",
            "state": "CT",
            "postal_code": "064773530",
            "telephone_number": "609-558-2405",
            "fax_number": "888-855-7803"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "331 Shelton Rd",
            "address_purpose": "LOCATION",
            "city": "Trumbull",
            "state": "CT",
            "postal_code": "066115134",
            "country_code": "US",
            "telephone_number": "646-580-2215",
            "fax_number": "888-855-7803",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GERDNER",
        "first_name": "EMILY",
        "credential": "R.D., L.D.N, C.D.E",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-10-22",
        "last_updated": "2020-06-09",
        "certification_date": "2020-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Marie Gambino, APRN, RN
• Maria Garcia, PH.D.
• Conner Gavin, DPT
• Jennifer Mae Gendreau, MA, BCBA, LBA
• Regina D Gentile Johnston, OD
• Alvin Alfredo Gil Ventura, MD
• Olivia Glacken
• Jennifer Del Carmen Gonzalez-Holmes
• Jazmin Gonzalez, SLP
• Gorgeous Smiles Dental Orange PLLC

• Registered Dietitian in Orange, CT
• Providers in Orange, CT by specialty
• Registered Dietitian in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2020; 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.