THERESA GWINNETT MS, RD
NPI 1184013559
Dietitian, Registered in San Diego, CA
About Theresa Gwinnett Ms, Rd NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
THERESA GWINNETT MS, RD (NPI 1184013559) is an individual dietitian, registered in San Diego, California, licensed in California (1025777) and active in the NPI registry since January 2015.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Theresa Gwinnett Ms, Rd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Theresa Gwinnett reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
La Jolla, CA 92037
- Reassigned Medicare billing, California enrollment
- 1,598 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SAN DIEGO, CA 92130
SAN DIEGO, CA 92130
SAN DIEGO, CA 92130
SAN DIEGO, CA 92130
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Theresa Gwinnett's NPI number?
The NPI number for Theresa Gwinnett is 1184013559. It was assigned to this individual provider in the NPPES registry on January 22, 2015.
Where is Theresa Gwinnett located?
Theresa Gwinnett practices at 12395 El Camino Real, San Diego, CA 92130. The listed phone number is (858) 794-1250.
What is Theresa Gwinnett's specialty?
The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.
Is Theresa Gwinnett enrolled in Medicare?
Yes. Theresa Gwinnett is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Theresa Gwinnett's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Theresa Gwinnett reassigns Medicare benefits to Scripps Health (La Jolla, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Theresa Gwinnett's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Theresa Gwinnett was last updated on June 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Theresa Gwinnett, MS, RD · NPI 1184013559
Dietitian, Registered provider in San Diego, California. Individual provider, active in the CMS NPPES registry since January 22, 2015.
## Identity
- **NPI:** 1184013559 (Entity type: Individual)
- **Enumerated:** January 22, 2015
- **Primary specialty:** Dietitian, Registered · taxonomy 133V00000X
- **State license:** 1025777 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 12395 EL CAMINO REAL, San Diego, CA 92130-3082
- **Phone:** (858) 794-1250
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Bills Medicare through:** Scripps Health (NPI 1275899072, La Jolla, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 18, 2026
---
Source: [NPI Profile](https://npiprofile.com/npi/1184013559) · Data from the CMS NPPES public registry.