Active NPI
Keisha Michelle Gaskin, MS, RD
- Registered Dietitian
- Chicago, IL
National Provider Identifier
1154764926
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 164004398
- Practice address
- 645 S Central Ave
Chicago, IL 60644-5059 - Phone
- (773) 633-9991
- NPI assigned
- Apr 11, 2013
- Sex
- Female
- Sole proprietor
- No
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 | 164004398 | IL | Primary |
Addresses
Primary practice location
645 S Central Ave
Chicago, IL 60644-5059
Mailing address
102 Highpoint Dr
Apt. 205
Romeoville, IL 60446-3897
Phone (815) 641-7983
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 |
|---|---|---|---|
| 164004398 | IL | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1365638400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1365638400000",
"number": "1154764926",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "102 HIGHPOINT DR",
"address_2": "APT. 205",
"city": "ROMEOVILLE",
"state": "IL",
"postal_code": "604463897",
"telephone_number": "815-641-7983"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "645 S CENTRAL AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606445059",
"telephone_number": "773-633-9991"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GASKIN",
"first_name": "KEISHA",
"middle_name": "MICHELLE",
"credential": "MS, RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-04-11",
"last_updated": "2013-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "IL",
"license": "164004398",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.