PATRICIA GOURLAY (NPI# 1134313190) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134313190 |
| Entity Type | Individual |
| Full Name | PATRICIA GOURLAY |
| Credential | RD |
| Practice Address |
4062 W Royal Dr Traverse City MI 49684-8965 |
| Practice Telephone | 2319350466 |
| Practice Fax Number | 2319350467 |
| Mailing Telephone | 2319350466 |
| Mailing Fax Number | 2319350467 |
| Enumeration Date | 2007-09-04 |
| Last Update Date | 2007-09-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133VN1005X |
Dietitian, Registered Specialization: Nutrition, Renal |
Dietary & Nutritional Service Providers |
| Street Address |
4062 W ROYAL DR |
| City | TRAVERSE CITY |
| State | MI |
| Zip Code | 49684-8965 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447366133 | Stanley John Szwalek Jr. | Internal Medicine | 4062 W Royal Dr, Traverse City, MI 49684-8965 | 2006-08-22 |
| 1346733268 | Holly Hinds | Nurse Practitioner | 4062 W Royal Dr, Traverse City, MI 49684-8965 | 2018-06-14 |
| 1114472370 | Munson Medical Group | Internal Medicine | 4062 W Royal Dr, Traverse City, MI 49684-8965 | 2016-08-17 |
| 1083035521 | Molly Kidner | Nurse Practitioner | 4062 W Royal Dr, Traverse City, MI 49684-8965 | 2013-12-31 |
| 1225310493 | Meghan Irene Damman | Dietitian, Registered | 4062 W Royal Dr, Traverse City, MI 49684-8965 | 2011-09-14 |
| 1427373232 | John William Stanifer | Internal Medicine | 4062 W Royal Dr, Traverse City, MI 49684-8965 | 2010-04-05 |
| 1346414406 | Stanley J Szwalek Jr Md PC | Internal Medicine | 4062 W Royal Dr, Traverse City, MI 49684-8965 | 2008-04-18 |
| 1679755680 | Munson Medical Center | Nurse Practitioner | 4062 W Royal Dr, Traverse City, MI 49684-8965 | 2007-11-30 |
| 1447443635 | Kathy J. Bellemore | Nurse Practitioner | 4062 W Royal Dr, Traverse City, MI 49684-8965 | 2007-08-22 |
| 1154489607 | Robert E Lefebvre | Internal Medicine | 4062 W Royal Dr, Traverse City, MI 49684-8965 | 2006-12-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124641758 | Karen Anne Paulosky | Registered Nurse | 226 S Madison St, Traverse City, MI 49684 | 2020-05-18 |
| 1891314795 | Jaclyn Elizabeth Sylvain | Student in an Organized Health Care Education/Training Program | Munson Family Practice Center, 1400 Medical Campus Drive, Traverse City, MI 49684 | 2020-04-10 |
| 1285282988 | Madelyn Drumm | Dietitian, Registered | 217 S. Madison St., Suite 3022, Traverse City, MI 49684 | 2019-08-27 |
| 1265917686 | Kacie Danielle Heading | Social Worker | 12719 S. West Bay Shore Drive, Suite 9, Traverse City, MI 49684 | 2018-10-02 |
| 1881178325 | Jacob White Ph.d., Pllc | Psychologist | 3537 W. Front Street, Suite F, Traverse City, MI 49684 | 2018-09-20 |
| 1144702572 | Constance Baab, Phd, Lmsw, Pllc | Social Worker | 3301 Veterans Drive Suite 127, Traverse City, MI 49684 | 2018-09-01 |
| 1346732880 | The Skin Cancer and Dermatology Center Plc | Dermatology | 1225 W Front St Ste 2, Traverse City, MI 49684 | 2018-05-31 |
| 1790283851 | Lisa Louise Kleyps | Massage Therapist | 3337 W. South Airport Road #2, Traverse City, MI 49684 | 2018-01-24 |
| 1114447646 | Brittany Alexandra Prior | Physical Therapist | 3899 W Front Sreet, Unit 3, Traverse City, MI 49684 | 2017-06-26 |
| 1568902963 | Jennifer Scott | Behavior Technician | 515 W 14th St Unit D, Traverse City, MI 49684 | 2017-03-03 |
| Find all providers in zip 49684 | ||||
| Taxonomy Code | 133VN1005X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| Specialization | Nutrition, Renal |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942811351 | Detroit Kidney Care, P.C. | Dietitian, Registered | 100 Kercheval Ave Ste C, Grosse Pointe Farms, MI 48236-3635 | 2020-08-11 |
| 1497395537 | Amy Wendt | Dietitian, Registered | 131 Vreeland Dr, Rochester Hills, MI 48309-1907 | 2020-01-07 |
| 1780993246 | Beth Ann Webb | Dietitian, Registered | 484 Cypress Rd, Rochester Hills, MI 48309-2225 | 2010-10-01 |
| 1275765737 | Glenda Bjornson | Dietitian, Registered | 23596 Clarewood St, Macomb, MI 48042-4828 | 2009-08-18 |
| 1841457330 | Ann S Lubeckyj | Dietitian, Registered | 6757 Main Street, Thumb Area Dialysis, Cass City, MI 48726 | 2008-05-21 |
| 1164689949 | Tina M Kennedy | Dietitian, Registered | 2522 W Wackerly St Ste B, Midland, MI 48640-6921 | 2008-05-20 |
| 1467634014 | Melissa Dawn Pieper | Dietitian, Registered | 12745 S. Saginaw Rd., Ste. 806-177, Grand Blanc, MI 48439-2437 | 2007-12-05 |
| 1073728754 | Dietitian for All L.L.C. | Dietitian, Registered | 22030 Park Street, Dearborn, MI 48124 | 2007-05-14 |
| 1578684189 | Mark Allen Perius | Dietitian, Registered | 50201 Jefferson Ave, Chesterfield, MI 48047-4303 | 2007-04-02 |
| 1184109969 | Sandra Kay Mcdonald-hangach | Dietitian, Registered | 23231 John R Rd, Hazel Park, MI 48030-1476 | 2018-09-27 |
| Find all providers with the same taxonomy | ||||
| City | TRAVERSE CITY |
| Zip Code | 49684 |
Please comment or provide details below to improve the information on PATRICIA GOURLAY.
| 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.