Active NPI
Jill Allyson Gawne, MS, RD, CDE
- Registered Dietitian
- Bakersfield, CA
National Provider Identifier
1083747968
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 800456
- Practice address
- 6600 Bridgeport LN
Bakersfield, CA 93309-0518 - Phone
- (661) 487-2417
- NPI assigned
- Mar 13, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 800456 | CA | Primary |
Addresses
Primary practice location
6600 Bridgeport LN
Bakersfield, CA 93309-0518
Mailing address
6600 Bridgeport LN
Bakersfield, CA 93309-0518
Phone (661) 487-2417
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 800456 | CA | MD | Maternal Newborn Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173744000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1249516800000",
"number": "1083747968",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6600 BRIDGEPORT LN",
"city": "BAKERSFIELD",
"state": "CA",
"postal_code": "933090518",
"telephone_number": "661-487-2417"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6600 BRIDGEPORT LN",
"city": "BAKERSFIELD",
"state": "CA",
"postal_code": "933090518",
"telephone_number": "661-487-2417"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAWNE",
"first_name": "JILL",
"middle_name": "ALLYSON",
"credential": "MS, RD, CDE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-13",
"last_updated": "2009-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "CA",
"license": "800456",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bakersfield, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.