Individual provider Active NPI

Gabriella Anic, PHD, MS, CNS, LDN

  • Nutritionist
  • Baltimore, MD
National Provider Identifier
1407591464
Registry record updated Oct 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
NutritionistTaxonomy code 133N00000X
Practice address
1631 Whetstone Way Apt 613
Baltimore, MD 21230-5173
Phone
(410) 929-2296
NPI assigned
May 3, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nutritionist 133N00000X Primary

Addresses

Primary practice location

1631 Whetstone Way Apt 613
Baltimore, MD 21230-5173

Mailing address

1631 Whetstone Way Apt 613
Baltimore, MD 21230-5173
Phone (410) 929-2296

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
Credentials
Certified Nurse Specialist, Master of Science, Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Gma Wellness LLC Nutritionist CurrentSince Nov 18, 2024 Accepting new patients

Locations

1301 York Rd
Ste 800
Timonium, MD 21093
Phone (410) 376-8728

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.

NPI Registry JSON

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

{
    "created_epoch": "1651536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727913600000",
    "number": "1407591464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1631 WHETSTONE WAY APT 613",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212305173",
            "telephone_number": "410-929-2296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1631 WHETSTONE WAY APT 613",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212305173",
            "telephone_number": "410-929-2296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANIC",
        "first_name": "GABRIELLA",
        "credential": "PHD, MS, CNS, LDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-03",
        "last_updated": "2024-10-03",
        "certification_date": "2024-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2024; 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.