| Carla Gutke, RDN LD | |
|
8015 Jayci Park Ln, Humble, TX 77396-4279 | |
| (832) 275-8439 | |
| Not Available |
| Full Name | Carla Gutke |
|---|---|
| Gender | Female |
| Speciality | Dietitian, Registered |
| Location | 8015 Jayci Park Ln, Humble, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457009243 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | DT05840 (Texas) | Primary |
| Provider Name | Ilivewell Nutrition Therapy, Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1093150070 PECOS PAC ID: 5496186009 Enrollment ID: O20200515000498 |
| Provider Name | Nourish, Inc. |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1558097824 PECOS PAC ID: 1557724937 Enrollment ID: O20230901000471 |
| Mailing Address | Practice Location Address |
|---|---|
| Carla Gutke, RDN LD 8015 Jayci Park Ln, Humble, TX 77396-4279 Ph: (832) 275-8439 | Carla Gutke, RDN LD 8015 Jayci Park Ln, Humble, TX 77396-4279 Ph: (832) 275-8439 |
Shannon Marie Canales, MPH, RD, LD Dietitian Medicare: Medicare Enrolled Practice Location: 18980 N Memorial Dr Ste 100, Humble, TX 77338 Phone: 832-458-8354 | |
Miyanna Breaux, MS, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 20719 Fox Hound Ln, Humble, TX 77338 Phone: 832-656-0813 | |
Katie Newsome, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1730 Humble Place Dr, Humble, TX 77338 Phone: 713-439-6000 | |
Mrs. Pamela Sheridan-neumann, MPH, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 12806 Kinkaid Meadows Ln, Humble, TX 77346 Phone: 781-351-9675 | |
Madeline Rigler, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 18980 N Memorial Dr Ste 100, Humble, TX 77338 Phone: 832-644-8930 | |
Mrs. Kimberly Sumner, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 14507 Logan Falls Ln, Humble, TX 77396 Phone: 281-516-8661 | |
Mujan Noroozian, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 18450 Highway 59 N, Humble, TX 77338 Phone: 281-446-6656 Fax: 281-446-6657 |