Gail Gronek Weismann, RD,CD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

717630 Issued in IN

Practice address

615 N Michigan St
South Bend, IN 46601-1033

Phone

(574) 647-7649

NPI assigned

May 21, 2018

Sex

Female

Sole proprietor

No

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1526860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526860800000",
    "number": "1962993386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "164 KINSALE AVE",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463858563",
            "telephone_number": "647-574-7649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 N MICHIGAN ST",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466011033",
            "telephone_number": "574-647-7649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEISMANN",
        "first_name": "GAIL",
        "middle_name": "GRONEK",
        "credential": "RD,CD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-21",
        "last_updated": "2018-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "IN",
            "license": "717630",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natalie Fay Webster, DO
• Shiloh Wedermyer, PHARM.D.
• Briana R Weidler-Edholm, NP
• Samantha Rae Weidner, DPT
• Harvey Weingarten, DDS
• Mary Elizabeth Weisser
• Khonnah Weithers, FNP-BC
• Terena Weitkamp
• Shawn Renee Welch
• Jazmine Weldy, FNP

• Registered Dietitian in South Bend, IN
• Providers in South Bend, IN by specialty
• Registered Dietitian in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2018; 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.