Individual provider Active NPI

Jane Gangitano, CNS

  • Nutritionist
  • Carson City, NV
National Provider Identifier
1104339100
Registry record updated Apr 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
NutritionistTaxonomy code 133N00000X
License
00448
Practice address
3250 Retail Dr Ste 120
Carson City, NV 89706-0686
Phone
(510) 485-5300
NPI assigned
Nov 13, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nutritionist 133N00000X 00448 Primary

Addresses

Primary practice location

3250 Retail Dr Ste 120
Carson City, NV 89706-0686

Mailing address

3250 Retail Dr Ste 120
Carson City, NV 89706-0686
Phone (775) 600-7097

Electronic endpoints 2

TypeEndpointUseAffiliation
SOAP URL janenutrition.com Health Information Exchange (HIE)
SOAP URL janenutrition.com Direct

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
Certified Nurse Specialist

NPI Registry JSON

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

{
    "created_epoch": "1510531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649289600000",
    "number": "1104339100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3250 RETAIL DR STE 120",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897060686",
            "telephone_number": "775-600-7097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3250 RETAIL DR STE 120",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897060686",
            "telephone_number": "510-485-5300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GANGITANO",
        "first_name": "JANE",
        "credential": "CNS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-13",
        "last_updated": "2022-04-07",
        "certification_date": "2022-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": null,
            "license": "00448",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "janenutrition.com",
            "affiliation": "N",
            "endpointDescription": "nutrition counseling",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "nutrition",
            "address_1": "3250 Retail Dr Ste 120",
            "city": "Carson City",
            "state": "NV",
            "country_code": "US",
            "postal_code": "897060686",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "janenutrition.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "health information",
            "address_1": "3250 Retail Dr Ste 120",
            "city": "Carson City",
            "state": "NV",
            "country_code": "US",
            "postal_code": "897060686",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Carson City, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2022; 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.