Active NPI
Cara Gonnello, RDN
- Registered Dietitian
- Jupiter, FL
National Provider Identifier
1417721176
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 12516
- Practice address
- 3900 E Indiantown Rd Ste 607
Jupiter, FL 33477-5085 - Phone
- (561) 317-2261
- NPI assigned
- Nov 13, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 12516 | FL | Primary |
Addresses
Primary practice location
3900 E Indiantown Rd Ste 607
Jupiter, FL 33477-5085
Mailing address
245 Blanca Isles LN
Jupiter, FL 33478-5477
Phone (561) 317-2261
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12516 | FL | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fay Nutrition | Dietitian, Registered | Past | Accepting new patients |
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": "1699833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736726400000",
"number": "1417721176",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "245 BLANCA ISLES LN",
"city": "JUPITER",
"state": "FL",
"postal_code": "334785477",
"telephone_number": "561-317-2261"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3900 E INDIANTOWN RD STE 607",
"city": "JUPITER",
"state": "FL",
"postal_code": "334775085",
"telephone_number": "561-317-2261"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GONNELLO",
"first_name": "CARA",
"credential": "RDN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-11-13",
"last_updated": "2025-01-13",
"certification_date": "2025-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dietitian, Registered",
"state": "FL",
"license": "12516",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jupiter, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.