Gundlach Nutrition LLC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Legal business name

GUNDLACH NUTRITION LLC

Practice address

1104 Emily CT
Iowa City, IA 52246-4146

Phone

(503) 449-2290

NPI assigned

Jun 3, 2022

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kerry Ann Gundlach, MS, RD, LDNPI 1548707193

Title

Registered Dietitian

Phone

(503) 449-2290

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kerry Ann Gundlach, MS, RD, LD

  • Registered Dietitian
  • Iowa City, IA
  • NPI 1548707193

  Dietitian, Registered

  NPD Authorized official

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

{
    "created_epoch": "1654214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654214400000",
    "number": "1811636186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1104 EMILY CT",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522464146",
            "telephone_number": "503-449-2290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1104 EMILY CT",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522464146",
            "telephone_number": "503-449-2290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUNDLACH NUTRITION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-03",
        "last_updated": "2022-06-03",
        "certification_date": "2022-06-03",
        "status": "A",
        "authorized_official_last_name": "GUNDLACH",
        "authorized_official_first_name": "KERRY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "REGISTERED DIETITIAN",
        "authorized_official_telephone_number": "503-449-2290",
        "authorized_official_credential": "MS, RD, LD"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gregory Leo Gullickson, PH D
• Renee Gullickson, ARNP
• Tyler Harris Gums, PHARM.D.
• Alan E Gunderson, M.D.
• Carissa Bauer Gunderson, M.D.
• Kerry Ann Gundlach, MS, RD, LD
• Stephen Edward Gunn, PA-C
• Sylvia Gunn
• Michael Guo
• Akansh Kumar Gupta

• Registered Dietitian in Iowa City, IA
• Providers in Iowa City, IA by specialty
• Registered Dietitian in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2022; 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.