MRS. WENDY LYNN GORDON R.D., RDH - NPI 1003214222 - Dietitian, Registered in Detroit Lakes, MN

Q: What is Wendy Gordon's NPI number?

The NPI number for Wendy Gordon is 1003214222. It was assigned to this individual provider in the NPPES registry on December 22, 2014.

Q: What is Wendy Gordon's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Q: When was this NPI record last updated?

The NPPES record for Wendy Gordon was last updated on December 22, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Mrs. Wendy Lynn Gordon R.d., Rdh NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. WENDY LYNN GORDON R.D., RDH (NPI 1003214222) is an individual dietitian, registered in Detroit Lakes, Minnesota, licensed in Minnesota (2886) and active in the NPI registry since December 2014.

NPPES Registry Identity

NPI1003214222

Entity TypeIndividualFemale

Primary Taxonomy133V00000X

Provider Legal NameMRS. WENDY LYNN GORDONCredential: R.D., RDH

Location Address1415 MADISON AVEDetroit Lakes, MN 56501-4542

Mailing Address1415 Madison AveDetroit Lakes, MN 56501-4542 · (218) 844-7161

Phone(218) 844-7161

Sole ProprietorYes

Enumeration DateDecember 22, 2014

✔ NPI 1003214222 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers

Taxonomy Code133V00000X

Licenses✔ Licensed in MN · 2886✔ Licensed in ND · 839

Definition

A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.

1415 MADISON AVE, Detroit Lakes, MN 56501

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