Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mariana Gandolfo Bustamante, MS, RDN, CD

Individual provider Registered Dietitian · NPI 1003667072

Mariana Gandolfo Bustamante, MS, RDN, CD is a Registered Dietitian OR Nutrition Professional in Madison, Wisconsin. Qualified in 2023, 3 years ago. Works from 2 locations. Licensed in Wisconsin.

Years since qualifying
3
Licensed in
WI
In the registry since
2024
What do these letters mean?
MS — Master of Science
A graduate science degree.
RDN — Registered Dietitian Nutritionist
The current title for a registered dietitian.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

3209 Dryden Dr
Madison, WI 53704-3015
Phone: (608) 241-9020
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 621 Science Dr, Madison, WI 53711-1074 — (608) 265-8303

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence 5427-29 (WI)

Record details

NPI number1003667072
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , RDN , CD
Sole proprietorNo
NPI enumeratedMarch 28, 2024
Last updated in NPPESSeptember 22, 2025
Certification dateSeptember 22, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyREGISTERED DIETITIAN OR NUTRITION PROFESSIONAL
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in Madison