Laura Gundermann, RD,CDE

Primary specialty

Nutrition Education NutritionistTaxonomy code 133NN1002X

License

002712 Issued in NY

Practice address

4 Harriman Dr
Goshen, NY 10924-0000

Phone

(845) 615-1141

Fax

(845) 294-4366

NPI assigned

Oct 9, 2009

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1255046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1255046400000",
    "number": "1811222722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 29",
            "city": "GOSHEN",
            "state": "NY",
            "postal_code": "109240029",
            "telephone_number": "845-615-1141",
            "fax_number": "845-294-4366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 HARRIMAN DR",
            "city": "GOSHEN",
            "state": "NY",
            "postal_code": "109240000",
            "telephone_number": "845-615-1141",
            "fax_number": "845-294-4366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUNDERMANN",
        "first_name": "LAURA",
        "credential": "RD,CDE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-10-09",
        "last_updated": "2009-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133NN1002X",
            "taxonomy_group": "",
            "desc": "Nutritionist, Nutrition, Education",
            "state": "NY",
            "license": "002712",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Catherine Grillo, LPN
• Cheryl A Grimm
• Sydney Grosser
• Regina A. Gruber, M.D.
• Mark A Guido, PH.D.
• Jeanine Gunning
• Ricardo Guzman Jr.
• Jasmine Vingco Hackett, FNP
• Taylor Skye Hall, M.A., CCC-SLP, TSSLD
• Kaylee Hammons, MS/CCC-SLP

• Nutrition Education Nutritionist in Goshen, NY
• Providers in Goshen, NY by specialty
• Nutrition Education Nutritionist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2009; 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.