Individual provider Active NPI

Jean Mary Gerber, RD

  • Registered Dietitian
  • Saint Louis, MO
National Provider Identifier
1083262950
Registry record updated Oct 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
2001007896 Issued in MO
Practice address
8 Millstone Campus Dr
Ste 2000
Saint Louis, MO 63146-5766
Phone
(314) 286-2069
Fax
(314) 286-2085
NPI assigned
Sep 3, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 2001007896 MO Primary

Addresses

Primary practice location

8 Millstone Campus Dr
Ste 2000
Saint Louis, MO 63146-5766

Mailing address

660 S Euclid Ave
CB 8031
Saint Louis, MO 63110-1010
Phone (314) 286-2069

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191118002393 MO Practitioner - Registered Dietitian Or Nutrition Professional 0042642795 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2001007896MOMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Family Care Health Centers CurrentSince Dec 11, 2025 Accepting new patients
Family Care Health Centers CurrentSince Dec 11, 2025 Accepting new patients

Locations

4352 Manchester Ave
Saint Louis, MO 63110
Phone (314) 371-0336

401 Holly Hills Ave
Saint Louis, MO 63111
Phone (314) 353-5190

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1567468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569888000000",
    "number": "1083262950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "660 S EUCLID AVE",
            "address_2": "CB 8031",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631101010",
            "telephone_number": "314-286-2069",
            "fax_number": "314-286-2085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 MILLSTONE CAMPUS DR",
            "address_2": "STE 2000",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631465766",
            "telephone_number": "314-286-2069",
            "fax_number": "314-286-2085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERBER",
        "first_name": "JEAN",
        "middle_name": "MARY",
        "name_prefix": "Ms.",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-03",
        "last_updated": "2019-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MO",
            "license": "2001007896",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.