Gwen B Enfield, RD, CDE

Primary specialty

Metabolic Nutrition Registered DietitianTaxonomy code 133VN1006X

License

ND216 Issued in FL

Practice address

1840 Mease Dr
Suite 410
Safety Harbor, FL 34695-6602

Phone

(727) 734-6888

Fax

(727) 266-4913

NPI assigned

Jun 14, 2006

Last updated

May 21, 2015By the provider in NPPES

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

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Baycare Medical Group Pediatric Walk-in, LLC

  • Pediatrics Physician
  • Tampa, FL
  • NPI 1679724488
  NPD (past)
• Medical Care Express

  • Mechanotherapist
  • Orlando, FL
  • NPI 1699089227
  NPD (past)
• Physicians Injury Care Center

  • Rehabilitation Clinic/Center
  • Orlando, FL
  • NPI 1851442651
  NPD (past)

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1432166400000",
    "number": "1790728962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 743409",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303743409",
            "telephone_number": "727-532-0002",
            "fax_number": "727-266-4928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1840 MEASE DR",
            "address_2": "SUITE 410",
            "city": "SAFETY HARBOR",
            "state": "FL",
            "postal_code": "346956602",
            "telephone_number": "727-734-6888",
            "fax_number": "727-266-4913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENFIELD",
        "first_name": "GWEN",
        "middle_name": "B",
        "credential": "RD, CDE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-14",
        "last_updated": "2015-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133VN1006X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Metabolic",
            "state": "FL",
            "license": "ND216",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaitlyn M Edmondson, PA
• Eduardo Palanca MD PA
• Marion A. Edwards, CRNA
• Stephen Ekman, MD
• Karen L. Ellingson, MD
• Kerry Englert, D.O.
• Esther L Klein, PA
• Marie V Evangelisti, LMT
• Robert A Evans, PH.D.
• Evergreen Manor Retirement Home

• Metabolic Nutrition Registered Dietitian in Safety Harbor, FL
• Providers in Safety Harbor, FL by specialty
• Metabolic Nutrition Registered Dietitian in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2015; 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.