CAROLYN GORDON RD, LDN
NPI 1609143205
Dietitian, Registered in Indianapolis, IN

Active since November 27, 2011
5515 W 38TH ST, INDIANAPOLIS, IN 46254(317) 880-3838 Get Directions Write a Review

NPPES record last updated: September 17, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Carolyn Gordon Rd, Ldn NPPES

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

CAROLYN GORDON RD, LDN (NPI 1609143205) is an individual dietitian, registered in Indianapolis, Indiana, licensed in Indiana (1015433) and active in the NPI registry since November 2011. She maintains a secondary practice location in Berwyn.

NPPES Registry Identity

NPI1609143205
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameCAROLYN GORDONCredential: RD, LDN
Location Address5515 W 38TH STIndianapolis, IN 46254-2995
Mailing AddressPo Box 637764Cincinnati, OH 45263-7764 · (317) 880-3939
Sole ProprietorNo
Enumeration DateNovember 27, 2011
Last NPPES UpdateSeptember 17, 2025
NPPES CertifiedSeptember 17, 2025
NPI 1609143205 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 IN · 1015433
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.

5515 W 38TH ST, Indianapolis, IN 46254

Secondary Practice Location 1

Location 13249 Oak Park AveBerwyn, IL 60402-3429 · Phone (708) 783-9100 ext. 3523

Accepted Insurance

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.

Internal Medicine
5515 W 38TH ST
INDIANAPOLIS, IN 46254
Durable Medical Equipment & Medical Supplies
5515 W 38TH ST, ROOM 1512
INDIANAPOLIS, IN 46254
Social Worker
5515 W 38TH ST
INDIANAPOLIS, IN 46254
Nurse Practitioner
5515 W 38TH ST
INDIANAPOLIS, IN 46254
Internal Medicine
5515 W 38TH ST
INDIANAPOLIS, IN 46254
Dietitian, Registered
5515 W 38TH ST
INDIANAPOLIS, IN 46254
Dietitian, Registered
5515 W 38TH ST
INDIANAPOLIS, IN 46254
Internal Medicine
5515 W 38TH ST
INDIANAPOLIS, IN 46254

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1609143205, enumerated as an "individual" on November 27, 2011.

The provider is located at 5515 W 38TH ST INDIANAPOLIS, IN 46254 and the phone number is (317) 880-3838.

Dietitian, Registered with taxonomy code 133V00000X.

The provider might be accepting Accepts: CareSource. Please consult your insurance carrier or call the provider to verify.