Marilyn S. Gordon, LD/N
NPI 1679751556ActiveIndividual· Dietitian, Registered· Davie, FL
Dietitian, Registered (LD/N) in Davie, Florida, licensed in FL, with an NPI issued in February 2008. Enrolled in Medicare as practitioner - registered dietitian or nutrition professional.
Overview
| NPI | 1679751556 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LD/N |
| Sole proprietor | No |
| NPI issued | Feb 4, 2008 |
| Last updated in NPPES | Apr 2, 2021 |
| Certified by provider | Apr 2, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dietitian, Registered Primary | 133V00000X | ND243 | FL |
| Nutritionist | 133N00000X | ND243 | FL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Registered Dietitian Or Nutrition Professional (FL) |
|---|
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