KEISHA MICHELLE GASKIN


Address: 645 S Central Ave, Chicago, IL 60644-5059
Phone: 7736339991

KEISHA MICHELLE GASKIN (NPI# 1154764926) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1154764926
Entity Type Individual
Full Name KEISHA MICHELLE GASKIN
Credential MS, RD
Practice Address 645 S Central Ave
Chicago
IL 60644-5059
Mailing Address 102 Highpoint Dr
Apt. 205
Romeoville
IL 60446-3897
Practice Telephone 7736339991
Mailing Telephone 8156417983
Enumeration Date 2013-04-11
Last Update Date 2013-04-11
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 133V00000X Dietitian, Registered 164004398 IL Dietary & Nutritional Service Providers

Office Location

Street Address 645 S CENTRAL AVE
City CHICAGO
State IL
Zip Code 60644-5059

Providers in the same location

NPI Name Taxonomy Address Enumeration
1174512917 M S Bhagavan Internal Medicine 645 S Central Ave, Chicago, IL 60644 2005-10-14
1811514532 Meridian Physician Group Pllc Podiatrist 645 S Central Ave, Chicago, IL 60644-5059 2020-06-29
1104440361 Saarah Alkhairy Psychiatry & Neurology 645 S Central Ave, Chicago, IL 60644-5059 2020-06-03
1821612185 Islam Khaled Hussein Psychiatry & Neurology 645 S Central Ave, Chicago, IL 60644-5059 2020-06-02
1417571761 Sam K Suhail Psychiatry & Neurology 645 S Central Ave, Chicago, IL 60644-5059 2020-06-02
1841814191 Omer Majdobeh Psychiatry & Neurology 645 S Central Ave, Chicago, IL 60644-5059 2020-06-02
1053944405 Ferrer Hameed Physical Therapist 645 S Central Ave, Chicago, IL 60644-5059 2020-02-13
1780246488 Onetha U Taylor Nurse Practitioner 645 S Central Ave, Chicago, IL 60644-5059 2019-07-02
1548826571 Stephanie Atoyebi Podiatrist 645 S Central Ave, Chicago, IL 60644-5059 2019-05-15
1306318753 Loretto Hospital Counselor 645 S Central Ave, Chicago, IL 60644-5059 2018-12-26
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1710535638 Marta Yvonne Palmer Technician 5008 W Adams, Chicago, IL 60644 2019-09-04
1861056848 B U I L D Incorporated Social Worker 5100 W Harrison St., Chicago, IL 60644 2019-04-25
1851806269 Habilitative Systems, Inc. Case Management 4732 W Ohio St, Chicago, IL 60644 2017-12-07
1336408665 Meghan Nancy Daw Dietitian, Registered 646 S Central Ave, Chicago, IL 60644 2012-05-07
1164790515 Elizabeth Eleanor Reid-tate Pharmacist 5222 W. Madison Avenue, Chicago, IL 60644 2011-12-13
1134458466 Power Teen Program Psychologist 300 N Central Ave, Chicago, IL 60644 2009-12-16
1417198342 Betty Jean Lofton Counselor 5938 W. Midway Park, Chicago, IL 60644 2009-03-24
1881856094 Sanjay M. Patel M.d. S.c. Psychiatry & Neurology 5730 W. Roosevelt Road, Chicago, IL 60644 2008-06-29
1639348691 Ysl Care, Inc Community Based Residential Treatment Facility, Mental Illness 5107-21 West Jackson Blvd, Chicago, IL 60644 2008-02-25
1073795845 Maryanne Rakidzioski Occupational Therapist 5103 W Jackson Blvd, Chicago, IL 60644 2007-12-03
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Taxonomy Information

Taxonomy Code 133V00000X
Grouping Dietary & Nutritional Service Providers
Classification Dietitian, Registered

Taxonomy Definition

A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration.
Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1598366726 Frankie O'brien Dietitian, Registered 2551 N Clark St Ste 400, Chicago, IL 60614-7725 2020-11-04
1841891207 Elizabeth Kristin Julius Dietitian, Registered 833 W Buena Ave Apt 1901, Chicago, IL 60613-6634 2020-11-03
1447857065 Tran Huynh Dietitian, Registered 6126 N Rockwell St Apt 3, Chicago, IL 60659-2859 2020-10-06
1447867668 Daniela Jannette Dietitian, Registered 1400 N Lake Shore Dr Apt 11b, Chicago, IL 60610-6637 2020-09-30
1598372252 Nora P Egan Dietitian, Registered 2266 W 109th St, Chicago, IL 60643-3212 2020-09-28
1700490273 Adriana Chychula Dietitian, Registered 2229 W Rice St, Chicago, IL 60622-4858 2020-09-02
1912519703 Melissa Freeman Dietitian, Registered 225 E Chicago Ave # 23, Chicago, IL 60611-2991 2020-08-21
1346859873 Jessica Mcfadden Dietitian, Registered 360 W Hubbard St Apt 3910, Chicago, IL 60654-5730 2020-07-30
1114535143 Jannette Rho Dietitian, Registered 3149 N Springfield Ave Apt 3a, Chicago, IL 60618-6550 2020-07-15
1740807437 Lisa Schrader Dietitian, Registered 2003 W Fulton St Ste 3oo, Chicago, IL 60612-2345 2020-06-29
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Competitor

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City CHICAGO
Zip Code 60644

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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