Kelly Elaine Gumpel, RD, CDN, CDE

Primary specialty

Metabolic Nutrition Registered DietitianTaxonomy code 133VN1006X

License

007906 Issued in NY

Practice address

60 Paulding Ave
Tarrytown, NY 10591-5713

Phone

(914) 280-0500

NPI assigned

Dec 13, 2013

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: kelly.walker@chn.eclinicaldirectplus.com

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

{
    "created_epoch": "1386892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551139200000",
    "number": "1912338120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 PAULDING AVE",
            "city": "TARRYTOWN",
            "state": "NY",
            "postal_code": "105915713",
            "telephone_number": "914-280-0500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 PAULDING AVE",
            "city": "TARRYTOWN",
            "state": "NY",
            "postal_code": "105915713",
            "telephone_number": "914-280-0500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUMPEL",
        "first_name": "KELLY",
        "middle_name": "ELAINE",
        "credential": "RD, CDN, CDE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-12-13",
        "last_updated": "2019-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133VN1006X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Metabolic",
            "state": "NY",
            "license": "007906",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00695941",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Toni Grimaldi, LMHC
• Growth Wellness Services LCSW, PLLC
• Brian Gruber, PA
• Ana Guerra, MD
• Eman Guirguis
• Lauren Gunther
• Catherine Marie Hadeshian, M.A., CCC-A, F-AAA
• Ira Steven Halper II, D.D.S.
• Sara M Halper, D.D.S.
• Tania Hammock, LCSW

• Metabolic Nutrition Registered Dietitian in Tarrytown, NY
• Providers in Tarrytown, NY by specialty
• Metabolic Nutrition Registered Dietitian in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2019; 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.