Active NPI
GBG Nutrition LLC
- Registered Dietitian
- Lutz, FL
National Provider Identifier
1396624854
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Legal business name
- GBG NUTRITION LLC
- Practice address
- 19172 Long Lake Ranch Blvd
Lutz, FL 33558-5508 - Phone
- (727) 271-0665
- NPI assigned
- Aug 28, 2025
- Last updated
- Aug 28, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Isabel A Quijano, RD
- Title
- Manager
- Phone
- (727) 271-0665
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | NU | Primary |
Addresses
Primary practice location
19172 Long Lake Ranch Blvd
Lutz, FL 33558-5508
Mailing address
19172 Long Lake Ranch Blvd
Lutz, FL 33558-5508
Phone (727) 271-0665
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1756339200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1756339200000",
"number": "1396624854",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19172 LONG LAKE RANCH BLVD",
"city": "LUTZ",
"state": "FL",
"postal_code": "335585508",
"telephone_number": "727-271-0665"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19172 LONG LAKE RANCH BLVD",
"city": "LUTZ",
"state": "FL",
"postal_code": "335585508",
"telephone_number": "727-271-0665"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GBG NUTRITION LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-08-28",
"last_updated": "2025-08-28",
"certification_date": "2025-08-28",
"status": "A",
"authorized_official_last_name": "QUIJANO",
"authorized_official_first_name": "ISABEL",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "727-271-0665",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "RD"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lutz, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.