Carla Gutke, RDN LD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

DT05840 Issued in TX

Practice address

8015 Jayci Park LN
Humble, TX 77396-4279

Phone

(832) 275-8439

NPI assigned

Mar 11, 2022

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

Enrolled in TX

Enrollment records 1

Specialty

Registered Dietitian Or Nutrition Professional

Education

Other, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Nourish, Inc. 288 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Nourish, Inc.

  • Registered Dietitian
  • Austin, TX
  • NPI 1558097824

  Dietitian, Registered, TX

  Medicare reassignment Care Compare group NPD
• Gutke Nutrition

  • Registered Dietitian
  • Houston, TX
  • NPI 1033921929

  Dietitian, Registered

  NPD Authorized official

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

{
    "created_epoch": "1646956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646956800000",
    "number": "1457009243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8015 JAYCI PARK LN",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773964279",
            "telephone_number": "832-275-8439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8015 JAYCI PARK LN",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773964279",
            "telephone_number": "832-275-8439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUTKE",
        "first_name": "CARLA",
        "credential": "RDN LD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-11",
        "last_updated": "2022-03-11",
        "certification_date": "2022-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": "TX",
            "license": "DT05840",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gustafson Dental PLLC
• Gary Gutierrez Campos, M.D.
• Denyze Gutierrez, LVN
• Emily Ann Gutierrez, COTA/L
• Jeanette Gutierrez
• Sneha Guwalani, DPT
• GZ Functional Health Solutions
• H Hometown Enterprises, LLC
• H-E-B, LP
• H-E-B, LP

• All providers in Humble, TX
• Registered Dietitian in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.