Ms Katie J Gustavesen, RD LDN CDN - Dietitian in Manchester, CT

Ms Katie J Gustavesen, RD LDN CDN is a Dietitian, Registered based in Manchester, Connecticut. Ms Katie J Gustavesen is licensed to practice in Connecticut (license number 137502846) and her current practice location is 71 Haynes St, Manchester, Connecticut. She can be reached at her office (for appointments etc.) via phone at (860) 680-1815.

NPI number for Ms Katie J Gustavesen is 1851522650 and her current mailing address is 71 Haynes St, Manchester, Connecticut. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1851522650.

Contact Information

Ms Katie J Gustavesen, RD LDN CDN
71 Haynes St,
Manchester, CT 06040-4131
(860) 680-1815
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameMs Katie J Gustavesen
GenderFemale
SpecialityDietitian, Registered
Location71 Haynes St, Manchester, Connecticut
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1851522650
  • Provider Enumeration Date: 07/29/2009
  • Last Update Date: 06/14/2021

Medical Identifiers

Medical identifiers for Ms Katie J Gustavesen such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1851522650NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
133V00000XDietitian, Registered 137502846 (Connecticut)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Katie J Gustavesen is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Ms Katie J Gustavesen, RD LDN CDN
71 Haynes St,
Manchester, CT 06040-4131

Ph: (860) 680-1815
Ms Katie J Gustavesen, RD LDN CDN
71 Haynes St,
Manchester, CT 06040-4131

Ph: (860) 680-1815

Reviews and Comments


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