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ELLEN P GANDER RD, LDN, CEDRD-S
NPI 1376139204
Dietitian, Registered in Raleigh, NC

Active since December 15, 2020Opted out of Medicare · through Oct 25, 2027
1042 WASHINGTON ST, RALEIGH, NC 27605(919) 781-4500 Get Directions Write a Review

NPPES record last updated: December 15, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ellen P Gander Rd, Ldn, Cedrd-s NPPES

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

ELLEN P GANDER RD, LDN, CEDRD-S (NPI 1376139204) is an individual dietitian, registered in Raleigh, North Carolina, licensed in North Carolina (LOO4531) and active in the NPI registry since December 2020. She has opted out of Medicare through October 25, 2027.

NPPES Registry Identity

NPI1376139204
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameELLEN P GANDERCredential: RD, LDN, CEDRD-S
Location Address1042 WASHINGTON STRaleigh, NC 27605-1258
Mailing Address5944 Dunbarton WayRaleigh, NC 27613-6856 · (513) 293-8506
Phone(919) 781-4500
Sole ProprietorYes
Enumeration DateDecember 15, 2020
NPPES CertifiedDecember 14, 2020
✔ NPI 1376139204 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
License✔ Licensed in NC · LOO4531
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.
1042 WASHINGTON ST, Raleigh, NC 27605
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

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Opted out of Medicare

Ellen P Gander Rd, Ldn, Cedrd-s has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 25, 2023 through October 25, 2027.

Opt-Out Effective DateOctober 25, 2023
Opt-Out In Effect ThroughOctober 25, 2027Opt-out affidavits renew automatically every two years unless cancelled

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.

LAURA HENSON RD, LDN
Dietitian, Registered
1042 WASHINGTON ST
RALEIGH, NC 27605
Wake County (919) 781-4500
SAVANNAH STOCKER
Student in an Organized Health Care Education/Training Program
1042 WASHINGTON ST
RALEIGH, NC 27605
Wake County (919) 238-9677
MEREDITH NISBET LMFTA
Marriage & Family Therapist
1042 WASHINGTON ST
RALEIGH, NC 27605
Wake County (336) 430-6694
LAUREN NICOLE SETUBAL LCMHCA
Counselor
1042 WASHINGTON ST
RALEIGH, NC 27605
Wake County (310) 702-1737
BRENNYN GRACE ROSENBERGER
Social Worker (Clinical)
1042 WASHINGTON ST
RALEIGH, NC 27605
Wake County (984) 664-0891
HANNAH JEAN STRAWN LCSWA
Social Worker (Clinical)
1042 WASHINGTON ST
RALEIGH, NC 27605
Wake County (984) 664-0891
BIRCH THERAPY PLLC
Counselor (Mental Health)
1042 WASHINGTON ST
RALEIGH, NC 27605
Wake County (919) 608-0398
RACHEL DEHMLOW RD, LDN
Dietitian, Registered
1042 WASHINGTON ST
RALEIGH, NC 27605
Wake County (919) 781-4500

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 Ellen Gander's NPI number?

The NPI number for Ellen Gander is 1376139204. It was assigned to this individual provider in the NPPES registry on December 15, 2020.

Where is Ellen Gander located?

Ellen Gander practices at 1042 Washington St, Raleigh, NC 27605. The listed phone number is (919) 781-4500.

What is Ellen Gander's specialty?

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

Is Ellen Gander enrolled in Medicare?

No. Ellen Gander has opted out of Medicare through October 25, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Ellen Gander accept?

Health plans from Blue Cross and Blue Shield of NC list Ellen Gander as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Ellen Gander was last updated on December 15, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.