MS. GAYLE FENGEL (NPI# 1639405160) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639405160 |
| Entity Type | Individual |
| Full Name | MS. GAYLE FENGEL |
| Credential | R.D.N., L.D.N. |
| Practice Address |
6405 W Willow Oak Ct Edwards IL 61528-9419 |
| Practice Telephone | 3096933369 |
| Enumeration Date | 2009-10-17 |
| Last Update Date | 2017-02-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 164002804 | IL | Dietary & Nutritional Service Providers |
| Street Address |
6405 W WILLOW OAK CT |
| City | EDWARDS |
| State | IL |
| Zip Code | 61528-9419 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033365291 | Mathew J Maupin | Nurse Anesthetist, Certified Registered | 5401 N. Knoxville Suite 416, Peoria, IL 61528 | 2008-08-07 |
| 1346504586 | Sarah Myers | Speech-Language Pathologist | 5601 Brookmere St, Edwards, IL 61528-9408 | 2012-07-03 |
| 1942814769 | Kellie O'brien | Speech-Language Pathologist | 5601 Brookmere St, Edwards, IL 61528-9408 | 2020-08-31 |
| 1295208379 | Way To Grow Pediatric Therapy Inc | Speech-Language Pathologist | 5601 Brookmere St, Edwards, IL 61528-9408 | 2019-01-10 |
| 1033249362 | Priscilla Ann Weaver | Physical Therapist | 6823 N Iron Wood Dr, Edwards, IL 61528-9420 | 2007-03-06 |
| 1740735646 | Movement Specialists Physical Therapy, LLC | Early Intervention Provider Agency | 6823 N Iron Wood Dr, Edwards, IL 61528-9420 | 2016-08-20 |
| 1194279240 | John P Weaver | Physical Therapy Assistant | 6823 N Iron Wood Dr, Edwards, IL 61528-9420 | 2016-08-06 |
| 1184729824 | Hillary Jane Wasson | Social Worker | 6513 N Fox Chapel Trl, Edwards, IL 61528-9528 | 2006-09-14 |
| 1972978989 | Paricia Rosenbaum | Physical Therapy Assistant | 7021 W Challacombe Rd, Edwards, IL 61528-9534 | 2015-12-02 |
| 1659801199 | Elizabeth Ann Groeper | Speech-Language Pathologist | 6022 N Heinz Ln, Edwards, IL 61528-9550 | 2017-06-18 |
| Find all providers in zip 61528 | ||||
| Taxonomy Code | 133V00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104046507 | Nadine Angelee Dowdie | Dietitian, Registered | 412 Th Medical Group Sghc, 30 Nightingale Road, Edwards, CA 93524-1730 | 2007-04-26 |
| 1124212568 | Jenifer R Kruse | Dietitian, Registered | 322 Beard Creek Road, Suite 1300, Edwards, CO 81632 | 2007-08-29 |
| 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 |
| 1417556747 | Jamie Anne Mayhew | Dietitian, Registered | 2917 W 99th Pl, Evergreen Park, IL 60805-2641 | 2020-10-19 |
| 1033716345 | Efthemia Greco | Dietitian, Registered | 9654 Kelley Ln, Huntley, IL 60142-0058 | 2020-10-08 |
| 1679170203 | Lotus Therapy Group Inc | Dietitian, Registered | 112 Kansas St, Frankfort, IL 60423-1447 | 2020-10-06 |
| 1447857065 | Tran Huynh | Dietitian, Registered | 6126 N Rockwell St Apt 3, Chicago, IL 60659-2859 | 2020-10-06 |
| 1033716113 | Ulani Villanueva | Dietitian, Registered | 470 Pfingsten Road, Northbrook, IL 60062-2506 | 2020-10-02 |
| 1780281873 | Alyssa Marie Post | Dietitian, Registered | 3512 Rollingridge Rd, Naperville, IL 60564-8298 | 2020-10-02 |
| 1285231324 | Megan Rhodes | Dietitian, Registered | 539 Willowcreek Ct, Clarendon Hills, IL 60514-1693 | 2020-10-01 |
| 1508473711 | Susan Faith Madnek-oxman | Dietitian, Registered | 1051 Wade St, Highland Park, IL 60035-4153 | 2020-09-30 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MS. GAYLE FENGEL.
| 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.