Gwen Vezin Nutrition LLC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Legal business name

GWEN VEZIN NUTRITION LLC

Practice address

171 Jardin Dr
Los Altos, CA 94022-1722

Phone

(650) 935-2388

NPI assigned

Jun 13, 2022

Organization subpart

No

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

Authorized official

Name

Mrs. Gwenaelle Jeanne Vezin, RDNNPI 1568815041

Title

Sole Member

Phone

(650) 935-2388

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Gwenaelle Jeanne Vezin, RD

  • Registered Dietitian
  • Los Altos, CA
  • NPI 1568815041

  Dietitian, Registered

  NPD Authorized official

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

{
    "created_epoch": "1655078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655078400000",
    "number": "1982334959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "171 JARDIN DR",
            "city": "LOS ALTOS",
            "state": "CA",
            "postal_code": "940221722",
            "telephone_number": "650-935-2388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "171 JARDIN DR",
            "city": "LOS ALTOS",
            "state": "CA",
            "postal_code": "940221722",
            "telephone_number": "650-935-2388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GWEN VEZIN NUTRITION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-13",
        "last_updated": "2022-06-13",
        "certification_date": "2022-06-13",
        "status": "A",
        "authorized_official_last_name": "VEZIN",
        "authorized_official_first_name": "GWENAELLE",
        "authorized_official_middle_name": "JEANNE",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "650-935-2388",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RDN"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES",
            "identifier": "1568815041",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tanya M. Gulevich, L.M.F.T.
• Keruo Guo
• Valerie Gurle, M.D.
• Shannon Gustafson, MA
• Amy Belinda Guthrie, D.D.S.
• Cali Ha, DC
• Abbie Christine Hageman, MD
• Kathleen Hagino, PSYD
• Stephanie Hair
• Kelly Hamamoto, PA-C

• Registered Dietitian in Los Altos, CA
• Providers in Los Altos, CA by specialty
• Registered Dietitian in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 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.