Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CARISSA GORMAN
ActivePediatric Nutrition · MESA, AZ
Registration Details
- NPI Number
- 1982567392
- Provider Type
- Individual
- Gender
- Unknown
- NPI Issued
- Dec 3, 2025 (0.39958965959713 yrs)
- Last Updated
- Dec 3, 2025
Practice Information
- Address
-
1666 S DOBSON RD APT 4062MESA, AZ, 852021614Browse AZ providers · Browse ZIP 85202
- Phone
- 6235129626
- Primary Specialty
-
Pediatric Nutrition
133VN1004X
- Additional Specialty
- Pediatric Nutrition
Other Pediatric Nutrition Providers in MESA, AZ
| Name | Credential | NPI |
|---|---|---|
| KIMBERLY JONES | — | 1811452014 |
| DAYNA CLINE | RD | 1477013472 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.