GAYLE JOANNE JENNINGS (NPI# 1669705679) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669705679 |
| Entity Type | Individual |
| Full Name | GAYLE JOANNE JENNINGS |
| Other Name | GAYLE JOANNE THEOBALD |
| Credential | R.D. |
| Practice Address |
520 N 4th St Springfield IL 62702-5238 |
| Mailing Address |
520 N 4th St Po Box 19670 Springfield IL 62702-5238 |
| Practice Telephone | 2175458000 |
| Practice Fax Number | 2177471351 |
| Mailing Telephone | 2175458000 |
| Mailing Fax Number | 2177471351 |
| Enumeration Date | 2009-09-09 |
| Last Update Date | 2016-05-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 164003330 | IL | Dietary & Nutritional Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225259526 | Gayle A. Jennings | Nurse Practitioner | 2275 Swallow Hill Rd, Bldg. 2600, Pittsburgh, PA 15220-1656 | 2007-05-02 |
| Street Address |
520 N 4TH ST |
| City | SPRINGFIELD |
| State | IL |
| Zip Code | 62702-5238 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023006913 | Janet R Albers | Family Medicine | 520 N 4th St, Springfield, IL 62702-5238 | 2005-10-13 |
| 1316559529 | Andrea Dawn Peterson | Social Worker | 520 N 4th St, Springfield, IL 62702-5238 | 2020-08-19 |
| 1811505159 | Naila Manahil | Family Medicine | 520 N 4th St, Springfield, IL 62702-5238 | 2020-07-22 |
| 1881211605 | Roxanne Bautista | Family Medicine | 520 N 4th St, Springfield, IL 62702-5238 | 2020-06-27 |
| 1689298366 | Ibukunoluwa Oluwatoni Olapoju | Family Medicine | 520 N 4th St, Springfield, IL 62702 | 2020-05-29 |
| 1386267425 | George Hudson | Family Medicine | 520 N 4th St, Springfield, IL 62702-5238 | 2020-05-23 |
| 1962025577 | Logan Tyler Garthe | Family Medicine | 520 N 4th St, Springfield, IL 62702-5238 | 2020-05-19 |
| 1740802693 | Haroun Babajide Ogun | Family Medicine | 520 N 4th St, Springfield, IL 62702-5238 | 2020-05-14 |
| 1952923153 | Hayley Hudson | Family Medicine | 520 N 4th St, Springfield, IL 62702-5238 | 2020-05-11 |
| 1780206094 | Patrick Hale Long | Family Medicine | 520 N 4th St, Springfield, IL 62702-5238 | 2020-05-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457866519 | Mohammad Jamal Uddin Ansari | Internal Medicine | 751 N Rutledge St Ste 400, Springfield, IL 62702 | 2017-12-11 |
| 1588105811 | Mickey Graphia | Surgery | 701 N 1st St # D346, Springfield, IL 62702 | 2017-03-20 |
| 1376908913 | Abdul Hannan | Internal Medicine | 315 W Carpenter St # B, Springfield, IL 62702 | 2015-12-28 |
| 1871986414 | Rachel Hoselton | Nurse Practitioner | 400 N 9th St Fl 4, Springfield, IL 62702 | 2015-03-06 |
| 1548697774 | Alyssa Wilson | Behavioral Analyst | 232 Bruns Lane, One Sparcenter Plaza, Springfield, IL 62702 | 2013-10-02 |
| 1174965446 | Amy Wilson | Speech-Language Pathologist | 2120 West Washington Street, Springfield, IL 62702 | 2013-07-26 |
| 1275898116 | Pele Boutrous Dina | Pediatrics | 415 N 9th St # 4w16, Springfield, IL 62702 | 2012-07-06 |
| 1427327733 | Brook D Croke | Genetic Counselor, MS | 400 N. 9th Street, 3rd Floor Clinic B, Springfield, IL 62702 | 2011-12-16 |
| 1629352604 | Renae M Sanchez | Pharmacist | 3216 East Clearlake Ave, Springfield, IL 62702 | 2011-10-07 |
| 1982915302 | William Leland Zelkovich | Radiology | 701 N 1st, Springfield, IL 62702 | 2010-06-30 |
| Find all providers in zip 62702 | ||||
| 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 |
|---|---|---|---|---|
| 1033716832 | Anna Opalko | Dietitian, Registered | 504 Philmar Ct Apt B, Springfield, PA 19064-3065 | 2020-10-05 |
| 1659978641 | Jaimie Lillian Lafferty | Dietitian, Registered | 1033 Lincoln Ave, Springfield, PA 19064-3922 | 2020-10-03 |
| 1023626108 | Samuel Bryan Yarrow | Dietitian, Registered | 960 E Walnut Lawn St Ste 203, Springfield, MO 65807-7865 | 2020-07-15 |
| 1417572579 | Nikki Jupe | Dietitian, Registered | 1928 5th St Apt 27, Springfield, OR 97477-2291 | 2020-06-14 |
| 1205487337 | Mary Digioia | Dietitian, Registered | 66 Industry Ave Ste 9, Springfield, MA 01104-3243 | 2019-09-20 |
| 1144877556 | Lindsey Allison Mcclafferty | Dietitian, Registered | 3252 S Meadowlark Ave, Springfield, MO 65807-8719 | 2019-08-20 |
| 1891357125 | Amy Richter | Dietitian, Registered | 1857 S Hampton Ave, Springfield, MO 65807-2725 | 2019-07-08 |
| 1396203626 | Auvia L Logan | Dietitian, Registered | 3322 S. Campbell Ave. Suite Cc, Springfield, MO 65807 | 2019-03-05 |
| 1407322407 | Ruth Kirschner | Dietitian, Registered | 275 Chestnut St Ste 1, Springfield, MA 01104-3498 | 2018-10-17 |
| 1518491042 | Crystal Spangler | Dietitian, Registered | 1965 S Fremont Ave Ste 220, Springfield, MO 65804 | 2017-04-11 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 62702 |
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| 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.