CHARLA V GORDON MNT
NPI 1699782052
Dietitian, Registered in Sault Sainte Marie, MI

Active since August 01, 2006
2864 ASHMUN STREET, SAULT TRIBAL HEALTH CENTER, SAULT SAINTE MARIE, MI 49783(906) 632-5200(906) 632-5276 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Charla V Gordon Mnt NPPES

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

CHARLA V GORDON MNT (NPI 1699782052) is an individual dietitian, registered in Sault Sainte Marie, Michigan and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1699782052
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameCHARLA V GORDONCredential: MNT
Location Address2864 ASHMUN STREET, SAULT TRIBAL HEALTH CENTERSault Sainte Marie, MI 49783
Mailing Address2864 Ashmun StreetSault Sainte Marie, MI 49783 · (906) 632-5200 · Fax (906) 632-5276
Fax(906) 632-5276
Sole ProprietorNo
Enumeration DateAugust 1, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1699782052 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.

2864 ASHMUN STREET, Sault Sainte Marie, MI 49783

Other Identifiers 1

Medicare UPINP56372

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
2864 ASHMUN STREET
SAULT SAINTE MARIE, MI 49783
Pediatrics
2864 ASHMUN STREET, SAULT TRIBAL HEALTH CENTER
SAULT SAINTE MARIE, MI 49783
Dentist (General Practice)
2864 ASHMUN STREET, SAULT TRIBAL HEALTH CENTER
SAULT SAINTE MARIE, MI 49783
Dentist (General Practice)
2864 ASHMUN STREET, SAULT TRIBAL HEALTH CENTER
SAULT STE MARIE, MI 49783
Dietitian, Registered
2864 ASHMUN STREET, SAULT TRIBAL HEALTH CENTER
SAULT SAINTE MARIE, MI 49783
Dietitian, Registered
2864 ASHMUN STREET, SAULT TRIBAL HEALTH CENTER
SAULT SAINTE MARIE, MI 49783
Dietitian, Registered
2864 ASHMUN STREET, SAULT TRIBAL HEALTH CENTER
SAULT SAINTE MARIE, MI 49783
Dietitian, Registered
2864 ASHMUN STREET, SAULT TRIBAL HEALTH CENTER
SAULT SAINTE MARIE, MI 49783

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1699782052, enumerated as an "individual" on August 01, 2006.

The provider is located at 2864 ASHMUN STREET SAULT TRIBAL HEALTH CENTER SAULT SAINTE MARIE, MI 49783 and the phone number is (906) 632-5200.

Dietitian, Registered with taxonomy code 133V00000X.

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