Gabriella Childers, RDN

Primary specialty

Sports Dietetics Nutrition Registered DietitianTaxonomy code 133VN1501X

License

86170472 Issued in SC

Practice address

2945 Calle Guadalajara
San Clemente, CA 92673-3041

Phone

(864) 918-0222

NPI assigned

Nov 30, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1701302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701302400000",
    "number": "1144096140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2945 CALLE GUADALAJARA",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926733041",
            "telephone_number": "864-918-0222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2945 CALLE GUADALAJARA",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926733041",
            "telephone_number": "864-918-0222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHILDERS",
        "first_name": "GABRIELLA",
        "credential": "RDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-11-30",
        "last_updated": "2023-11-30",
        "certification_date": "2023-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133VN1501X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Sports Dietetics",
            "state": "SC",
            "license": "86170472",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cheryl E. McDonough, DMD, Apc
• Matthew Ryan Chester, PH.D.
• Lauren Marie Chetwood
• Shweta Chheda
• Child Guidance Center, Inc.
• Stephanie Chiu
• Amber Choe
• Eliya Chong
• Alexander Edward Christian, PT
• Penelope Jean Christians, RPT

• Sports Dietetics Nutrition Registered Dietitian in San Clemente, CA
• Providers in San Clemente, CA by specialty
• Sports Dietetics Nutrition Registered Dietitian in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2023; 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.