Gisela Belen Bouvier, MBA, RDN, LDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

ND5716 Issued in FL

Practice address

7788 Mikasa Dr
Punta Gorda, FL 33950-1352

Phone

(786) 302-3181

NPI assigned

Feb 17, 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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Business Administration

State licenses

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

{
    "created_epoch": "1329436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553644800000",
    "number": "1407129752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7788 MIKASA DR",
            "city": "PUNTA GORDA",
            "state": "FL",
            "postal_code": "339501352",
            "telephone_number": "786-302-3181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7788 MIKASA DR",
            "city": "PUNTA GORDA",
            "state": "FL",
            "postal_code": "339501352",
            "telephone_number": "786-302-3181"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "381 Eppinger Dr",
            "address_purpose": "LOCATION",
            "city": "Port Charlotte",
            "state": "FL",
            "postal_code": "339531823",
            "country_code": "US",
            "telephone_number": "786-302-3181",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOUVIER",
        "first_name": "GISELA",
        "middle_name": "BELEN",
        "credential": "MBA, RDN, LDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-02-17",
        "last_updated": "2019-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "FL",
            "license": "ND5716",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LD/N",
            "identifier": "ND5716",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CDR",
            "identifier": "995114",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Birgit Bodine, MD
• Laura Bohatch
• Rebecca Booth, RN
• Kiersta Borrego, DO
• Lisa M Boucher
• Victoria Catherine Bowman, PA-C
• William Patrick Boyan Sr., M.D.
• Allan James Boyum, M.D.
• Aileen Brandt
• Beatrice Braswell

• Registered Dietitian in Punta Gorda, FL
• Providers in Punta Gorda, FL by specialty
• Registered Dietitian in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2019; 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.