GWENDOLYN ANN WITTENBROOK (NPI# 1427432731) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427432731 |
| Entity Type | Individual |
| Full Name | GWENDOLYN ANN WITTENBROOK |
| Other Name | WENDY WITTENBROOK |
| Credential | MA, RD, CSP, LD |
| Practice Address |
2222 Welborn St Dietary Department Dallas TX 75219-3924 |
| Practice Telephone | 2145597534 |
| Practice Fax Number | 2145598394 |
| Mailing Telephone | 2145597534 |
| Mailing Fax Number | 2145598394 |
| Enumeration Date | 2015-07-16 |
| Last Update Date | 2015-07-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133VN1004X |
Dietitian, Registered Specialization: Nutrition, Pediatric |
DT05780 | TX | Dietary & Nutritional Service Providers |
| Street Address |
2222 WELBORN ST DIETARY DEPARTMENT |
| City | DALLAS |
| State | TX |
| Zip Code | 75219-3924 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710982988 | Jean Oldham Wall | Anesthesiology | 2222 Welborn St, Dallas, TX 75219-3924 | 2005-06-15 |
| 1730796137 | Carissa Stoddard | Physical Therapist | 2222 Welborn St, Dallas, TX 75219-3924 | 2020-09-29 |
| 1831704949 | Ronni Lee Rowe | Occupational Therapist | 2222 Welborn St, Dallas, TX 75219-3924 | 2020-09-15 |
| 1952945263 | Katie Edwards | Orthotist | 2222 Welborn St, Dallas, TX 75219-3924 | 2019-10-30 |
| 1033752555 | Kristiana Rhae Kiessling | Orthotist | 2222 Welborn St, Dallas, TX 75219-3924 | 2019-10-28 |
| 1033767611 | Christine Grohs Agerlid | Nurse Practitioner | 2222 Welborn St, Dallas, TX 75219-3924 | 2019-08-28 |
| 1669026050 | Kristen Anne Lord | Nurse Practitioner | 2222 Welborn St, Dallas, TX 75219-3924 | 2019-07-24 |
| 1023660545 | Lindsay Chiu | Physical Therapist | 2222 Welborn St, Dallas, TX 75219-3924 | 2019-07-15 |
| 1649832296 | Kayla Clem | Physical Therapist | 2222 Welborn St, Dallas, TX 75219-3924 | 2019-07-03 |
| 1952963589 | Elissa Rae Curtis | Occupational Therapist | 2222 Welborn St, Dallas, TX 75219-3924 | 2019-07-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700421666 | Jennifer Henry Furlong | Counselor | 3500 Oak Lawn Ave Ste 720, Dallas, TX 75219 | 2019-11-14 |
| 1174082150 | Cmdpn Medical Group of Texas, P.a. | Clinic/Center | 3838 Oak Lawn Ave, Suite 1000, Pmb 1123, Dallas, TX 75219 | 2019-03-18 |
| 1245700871 | Reginald Deloatch | Day Training/Habilitation Specialist | 4123 Cedar Springs Roafd, Apt. 2332, Dallas, TX 75219 | 2018-11-27 |
| 1255815429 | Elk Monitoring,pllc | Electrodiagnostic Medicine | 4848 Lemmon Ave Suite 100 #321, Highland Park, TX 75219 | 2018-09-24 |
| 1255811154 | Matias Haller | Physical Therapist | 3131 Rurtle Creek Blvd, #615, Dallas, TX 75219 | 2018-08-20 |
| 1750861795 | Darya Semenyuk | Counselor | 3720 Rawlins St. Suite I, Dallas, TX 75219 | 2018-08-20 |
| 1144716580 | My Health & Homecare Transportation Inc | Non-emergency Medical Transport (VAN) | 3710 Rawlins St Ste 1420, Dallas, TX 75219 | 2018-07-09 |
| 1750876785 | David Dwayne Weir | Registered Nurse | 3883 Turtle Creek Blvd Apt 818, Dallas, TX 75219 | 2018-06-22 |
| 1053802264 | Stem Cell Pros LLC | Durable Medical Equipment & Medical Supplies | 4100 Harry Hines Blvd Ste 300, Dallas, TX 75219 | 2018-05-23 |
| 1346749231 | White Dental Limited Company Pllc | Clinic/Center | 3878 Oak Lawn Avenue Suite 310, Dallas, TX 75219 | 2018-02-06 |
| Find all providers in zip 75219 | ||||
| Taxonomy Code | 133VN1004X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| Specialization | Nutrition, Pediatric |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104366970 | Janelle Marie Andonie Bocock | Dietitian, Registered | 6162 Maple Ave Apt 2308, Dallas, TX 75235-6820 | 2017-02-27 |
| 1700070620 | Inge Daeschel | Dietitian, Registered | 523 Se Washington Street, Dallas, OR 97338-2834 | 2007-09-04 |
| 1871690206 | Kamesha Burrell | Dietitian, Registered | 1935 Motor Stree, Dallas, TX 75235 | 2006-09-20 |
| 1396840856 | Elyse Marie Carson | Dietitian, Registered | 6135 La Vista Dr, Dallas, TX 75214-4310 | 2006-09-13 |
| 1629625124 | Lauren Elizabeth Hollaway | Dietitian, Registered | 1935 Medical District Dr, Dallas, TX 75235-7701 | 2019-08-20 |
| 1750940748 | Mona Kasik | Dietitian, Registered | 1935 Medical District Dr, Dallas, TX 75235-7701 | 2019-06-12 |
| 1629544994 | Sridevi Jagadeesan | Dietitian, Registered | 1935 Medical District Dr, Dallas, TX 75235-7701 | 2018-10-15 |
| 1508346644 | Molly Williams | Dietitian, Registered | 1935 Medical District Dr, Dallas, TX 75235-7701 | 2018-08-17 |
| 1063909893 | Emily Patterson | Dietitian, Registered | 1935 Medical District Dr, Dallas, TX 75235 | 2018-04-17 |
| 1316454416 | Marimar Torres | Dietitian, Registered | 1935 Medical District Dr, Dallas, TX 75235-7701 | 2018-01-10 |
| Find all providers in DALLAS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.