Individual provider · Type 1 NPI
Carissa Gorman
Pediatric Nutrition Registered Dietitian · Mesa, AZ
Practice location
1666 S Dobson Rd Apt 4062
Mesa, AZ 85202-1614
Mailing address
7130 W Tether Trl
Peoria, AZ 85383-7340
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Dietitian | 133V00000X | None listed |
| Pediatric Nutrition Registered Dietitian Primary | 133VN1004X | None listed |
Pediatric Nutrition Registered Dietitian: An individual who is a Board Certified Specialist in Pediatric Nutrition and applies evidence-based nutrition knowledge in providing medical nutrition therapy for pediatric patients. Specialists work directly with healthy and/or ill children (newborn up to 21 years of age) as well as children with special health care needs in a variety of settings (hospitals, community-based and/or family-centered programs, educatio…
Other pediatric nutrition registered dietitian providers in Mesa
About NPI 1982567392
Carissa Gorman's National Provider Identifier is 1982567392, issued on Dec 3, 2025. The primary taxonomy on file is Pediatric Nutrition Registered Dietitian (133VN1004X), and the practice location is in Mesa, AZ. The record was last updated on Dec 3, 2025.