Healthcare Provider Details

I. General information

NPI: 1861360489
Provider Name (Legal Business Name): DENISE ANN GEARHART MS, RDN, LDN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/27/2025
Last Update Date: 10/27/2025
Certification Date: 10/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1850 SE 18TH AVE APT 3907
OCALA FL
34471-8248
US

IV. Provider business mailing address

1850 SE 18TH AVE APT 3904
OCALA FL
34471-8248
US

V. Phone/Fax

Practice location:
  • Phone: 517-342-4835
  • Fax:
Mailing address:
  • Phone: 517-342-4835
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code133VN1005X
TaxonomyRenal Nutrition Registered Dietitian
License Number
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: