Active NPI
Gwendolyn Hayes, RDN, LD
- Renal Nutrition Registered Dietitian
- Robbinsdale, MN
National Provider Identifier
1902741846
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Renal Nutrition Registered Dietitian
- License
- 3713
- Practice address
- 3461 W Broadway Ave
Robbinsdale, MN 55422-2955 - Phone
- (763) 521-4865
- Fax
- (763) 522-6754
- NPI assigned
- Apr 20, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Renal Nutrition Registered Dietitian | 133VN1005X | 3713 | MN | Primary |
Addresses
Primary practice location
3461 W Broadway Ave
Robbinsdale, MN 55422-2955
Mailing address
3461 W Broadway Ave
Robbinsdale, MN 55422-2955
Phone (763) 521-4865
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3713 | MN | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1776643200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776643200000",
"number": "1902741846",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3461 W BROADWAY AVE",
"city": "ROBBINSDALE",
"state": "MN",
"postal_code": "554222955",
"telephone_number": "763-521-4865",
"fax_number": "763-522-6754"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3461 W BROADWAY AVE",
"city": "ROBBINSDALE",
"state": "MN",
"postal_code": "554222955",
"telephone_number": "763-521-4865",
"fax_number": "763-522-6754"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAYES",
"first_name": "GWENDOLYN",
"credential": "RDN, LD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-04-20",
"last_updated": "2026-04-20",
"certification_date": "2026-04-20",
"status": "A"
},
"taxonomies": [
{
"code": "133VN1005X",
"taxonomy_group": "",
"desc": "Dietitian, Registered, Nutrition, Renal",
"state": "MN",
"license": "3713",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Robbinsdale, MN
- Kristen Kathleen Hasson, M.D.
- Brandon Hataye
- Rolf Severin Hauck, M.D.
- Darko Hauer, MD
- Luke Thomas Hawes, M.D.
- Health Activation Services, PLLC (NorthWorks Occupational Health)
- Healthplus Chiropractic (Cebter for Spinal Decompression)
- Healthplus Chiropractic Clinic, P.a.
- Healthplus Chiropractic, P.a.
- Hearing Center of Robbinsdale LLC (HearLife of MN)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.