Gut Glow LLC
NPI 1447026125 · Registered Dietitian · Portland, ME
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Gut Glow LLC is a Registered Dietitian organization in Portland, ME (NPI 1447026125).
Provider details
- NPI number
- 1447026125
- Entity type
- Organization
- Primary specialty
- Registered DietitianDietary & Nutritional Service Providers
- Organization subpart
- No
- Authorized official
- Lynda Lawrence, Lead Dietitian(650) 248-4863
Specialties & taxonomies
Dietary & Nutritional Service Providers
- Pediatric Nutrition Registered Dietitian133VN1004X
Dietary & Nutritional Service Providers
- Renal Nutrition Registered Dietitian133VN1005X
Dietary & Nutritional Service Providers
- Metabolic Nutrition Registered Dietitian133VN1006X
Dietary & Nutritional Service Providers
Dietary & Nutritional Service Providers
Dietary & Nutritional Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2023-12-04
- Last updated
- 2023-12-04
- Certified
- 2023-12-03
Frequently asked questions
- What is Gut Glow LLC's NPI number?
- Gut Glow LLC's National Provider Identifier (NPI) is 1447026125, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Gut Glow LLC?
- Gut Glow LLC is classified in the NPPES registry as Registered Dietitian (Dietary & Nutritional Service Providers).
- Where is Gut Glow LLC located?
- Gut Glow LLC's practice location on file with NPPES is 411 Congress St, Portland, ME 04101-3505.
- What is Gut Glow LLC's phone number?
- The practice phone number listed in the NPPES registry for Gut Glow LLC is (650) 248-4863.
- Does Gut Glow LLC accept Medicare?
- Gut Glow LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Gut Glow LLC?
- The authorized official listed on Gut Glow LLC's NPPES record is Lynda Lawrence, Lead Dietitian. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Gut Glow LLC's NPI active?
- Yes — Gut Glow LLC's NPI (1447026125) is active in the NPPES registry as of the last update on 2023-12-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.