Individual provider Active NPI

Carolyn R. Gundell, CDCES

  • Nutrition Education Nutritionist
  • Wilton, CT
National Provider Identifier
1851975817
Registry record updated Sep 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nutrition Education NutritionistTaxonomy code 133NN1002X
Practice address
80 Sugarloaf Dr
Wilton, CT 06897-2119
Phone
(203) 984-1389
NPI assigned
May 6, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 20, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Health & Wellness Coach 171400000X
Nutrition Education Nutritionist 133NN1002X Primary

Addresses

Primary practice location

80 Sugarloaf Dr
Wilton, CT 06897-2119

Mailing address

80 Sugarloaf Dr
Wilton, CT 06897-2119
Phone (203) 984-1389

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1620259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632096000000",
    "number": "1851975817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 SUGARLOAF DR",
            "city": "WILTON",
            "state": "CT",
            "postal_code": "068972119",
            "telephone_number": "203-984-1389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 SUGARLOAF DR",
            "city": "WILTON",
            "state": "CT",
            "postal_code": "068972119",
            "telephone_number": "203-984-1389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUNDELL",
        "first_name": "CAROLYN",
        "middle_name": "R.",
        "name_prefix": "Ms.",
        "credential": "CDCES",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-06",
        "last_updated": "2021-09-20",
        "certification_date": "2021-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "133NN1002X",
            "taxonomy_group": "",
            "desc": "Nutritionist, Nutrition, Education",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilton, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2021; 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.