Gwendelyn Nicole Chappell, MS,RD,CNSC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

966486 Issued in CA

Practice address

22026 N 103Rd LN
# 353
Peoria, AZ 85383-2681

Phone

(623) 759-1531

NPI assigned

Jul 18, 2007

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1184716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453680000000",
    "number": "1689874604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8380 W EMILE ZOLA AVE",
            "address_2": "# 6274",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853814811",
            "telephone_number": "623-759-1531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22026 N 103RD LN",
            "address_2": "# 353",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853832681",
            "telephone_number": "623-759-1531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAPPELL",
        "first_name": "GWENDELYN",
        "middle_name": "NICOLE",
        "credential": "MS,RD,CNSC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-18",
        "last_updated": "2016-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "CA",
            "license": "966486",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Lauren Cetta, DO
• Jay Harivadan Chadderwala, PHARM. D
• Yesenia Chagolla
• Parminder Singh Chahal, MD
• Suzanne Chang
• Tanya Charbonneau
• Charles J Hofer MD PC
• Charles J. Gatti D.D.S. P.C.
• Christina Chase, PHARMD
• Vicky H Chen-Yang, MD

• Registered Dietitian in Peoria, AZ
• Providers in Peoria, AZ by specialty
• Registered Dietitian in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2016; 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.