Carissa Gorman

Primary specialty

Pediatric Nutrition Registered DietitianTaxonomy code 133VN1004X

Practice address

1666 S Dobson Rd Apt 4062
Mesa, AZ 85202-1614

Phone

(623) 512-9626

NPI assigned

Dec 3, 2025

Sex

Unspecified or another gender identity

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Carissa Weiberg Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1764720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764720000000",
    "number": "1982567392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7130 W TETHER TRL",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853837340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1666 S DOBSON RD APT 4062",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852021614",
            "telephone_number": "623-512-9626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORMAN",
        "first_name": "CARISSA",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2025-12-03",
        "last_updated": "2025-12-03",
        "certification_date": "2025-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "133VN1004X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Pediatric",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARISSA",
            "last_name": "WEIBERG",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Subha Gopinath, MD
• Chanel Gordon
• Molly Gordon
• Andrea White Gorman, PHD, RD, LPC
• Ashley Gorman, LMSW
• Christi N Gorman, LPC
• Jalyn Gorman
• Jeffrey M Gorzitze, CRNA
• Goshihab Healthcare Technology LLC (GoShihab Medical Transportation)
• Goshihab Healthcare Technology LLC (GoShihab Medical Transportation)

• Pediatric Nutrition Registered Dietitian in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Pediatric Nutrition Registered Dietitian in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2025; 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.