Provider Demographics
NPI:1861360489
Name:GEARHART, DENISE ANN (MS, RDN, LDN)
Entity type:Individual
Prefix:
First Name:DENISE
Middle Name:ANN
Last Name:GEARHART
Suffix:
Gender:F
Credentials:MS, RDN, LDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1850 SE 18TH AVE APT 3904
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34471-8248
Mailing Address - Country:US
Mailing Address - Phone:517-342-4835
Mailing Address - Fax:
Practice Address - Street 1:1850 SE 18TH AVE APT 3907
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34471-8248
Practice Address - Country:US
Practice Address - Phone:517-342-4835
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-10-27
Last Update Date:2025-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL133V00000X, 133VN1005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133VN1005XDietary & Nutritional Service ProvidersDietitian, RegisteredNutrition, Renal
No133V00000XDietary & Nutritional Service ProvidersDietitian, Registered