GBG NUTRITION LLC
NPI 1396624854
Dietitian, Registered in Lutz, FL

Active since August 28, 2025
19172 LONG LAKE RANCH BLVD, LUTZ, FL 33558(727) 271-0665 Get Directions Write a Review

NPPES record last updated: August 28, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Gbg Nutrition Llc NPPES

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

GBG NUTRITION LLC (NPI 1396624854) is a healthcare organization registered as a dietitian, registered in Lutz, Florida and active in the NPI registry since August 2025. The organization lists Isabel A Quijano, Manager, as its authorized official.

NPPES Registry Identity

NPI1396624854
Entity TypeOrganization
Primary Taxonomy133V00000X
Legal Business NameGBG NUTRITION LLC
Location Address19172 LONG LAKE RANCH BLVDLutz, FL 33558-5508
Mailing Address19172 Long Lake Ranch BlvdLutz, FL 33558-5508 · (727) 271-0665
Organization SubpartNo
Authorized OfficialIsabel A QuijanoManager · (727) 271-0665
Enumeration DateAugust 28, 2025
NPPES CertifiedAugust 28, 2025
✔ NPI 1396624854 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
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.
19172 LONG LAKE RANCH BLVD, Lutz, FL 33558

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Gbg Nutrition Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Gbg Nutrition LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Registered Dietitian or Nutrition Professional
NPI 1083846158
19172 LONG LAKE RANCH BLVD
Lutz, FL 33558
(727) 271-0665
✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Gbg Nutrition LLC's NPI number?

The NPI number for Gbg Nutrition LLC is 1396624854. It was assigned to this organization in the NPPES registry on August 28, 2025.

Where is Gbg Nutrition LLC located?

Gbg Nutrition LLC is located at 19172 Long Lake Ranch Blvd, Lutz, FL 33558. The listed phone number is (727) 271-0665.

What is Gbg Nutrition LLC's specialty?

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

Is Gbg Nutrition LLC enrolled in Medicare?

Yes. Gbg Nutrition LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Gbg Nutrition LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Registered Dietitian or Nutrition Professional) reassigns their Medicare billing to Gbg Nutrition LLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Gbg Nutrition LLC accept?

Health plans from Blue Cross and Blue Shield of Texas list Gbg Nutrition LLC 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 Gbg Nutrition LLC was last updated on August 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.