Gibraltar Biz, LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

GIBRALTAR BIZ, LLC

Practice address

5505 E Mountain St
Stone Mountain, GA 30083-3027

Phone

(678) 485-3308

NPI assigned

Jul 31, 2021

Last updated

Jul 31, 2021By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Fritha Skinner Dinwiddie, RDNNPI 1093126997

Title

Owner

Phone

(678) 485-3308

Specialties & licenses 1

Addresses

Electronic endpoints 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Fritha Skinner Dinwiddie, RDN

  • Registered Dietitian
  • Stone Mountain, GA
  • NPI 1093126997
  NPD Authorized official
• James Kevin Gilligan Jr., RD, LD

  • Registered Dietitian
  • Mattoon, IL
  • NPI 1629453097
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1627689600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627689600000",
    "number": "1013680388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5505 E MOUNTAIN ST",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300833027",
            "telephone_number": "678-485-3308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5505 E MOUNTAIN ST",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300833027",
            "telephone_number": "678-485-3308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GIBRALTAR BIZ, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-31",
        "last_updated": "2021-07-31",
        "certification_date": "2021-07-31",
        "status": "A",
        "authorized_official_last_name": "DINWIDDIE",
        "authorized_official_first_name": "FRITHA",
        "authorized_official_middle_name": "SKINNER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-485-3308",
        "authorized_official_credential": "RDN"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "admin@gibraltarbiz.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "secure at URL",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5505 E Mountain St",
            "city": "Stone Mountain",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300833027",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Raeanne Elizabeth Gialanella, OTR
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• Clinic/Center in Stone Mountain, GA
• Providers in Stone Mountain, GA by specialty
• Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.