Individual provider Active NPI

Kristen Gil, MS, RD, CDN

  • Registered Dietitian
  • Clifton Park, NY
National Provider Identifier
1235596883
Registry record updated Mar 30, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
1015600 Issued in NY
Practice address
16 Sterling Heights Dr
Clifton Park, NY 12065-3717
Phone
(518) 265-2969
NPI assigned
Jan 26, 2016
Last updated
Mar 30, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 007842-1 NY
Registered Dietitian 133V00000X 1015600 NY Primary

Addresses

Primary practice location

16 Sterling Heights Dr
Clifton Park, NY 12065-3717

Mailing address

16 Sterling Heights Dr
Clifton Park, NY 12065-3717
Phone (518) 265-2969

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160418001551 NY Practitioner - Registered Dietitian Or Nutrition Professional 3870891294 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
007842-1NYMDRegistered Dietitian
1015600NYMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Albany Medical College CurrentSince Feb 22, 2016 Accepting new patients
Albany Medical College Dietitian, Registered Current Accepting new patients
Albany Medical College CurrentSince Sep 8, 2020 Accepting new patients
Albany Medical College Current Accepting new patients
Albany Medical College CurrentSince Feb 22, 2016 Accepting new patients
Albany Medical College Current Accepting new patients

Locations

47 New Scotland Ave
Albany, NY 12208
Phone (518) 262-3773

Organizations & group practices 6

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

NPI Registry JSON

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

{
    "created_epoch": "1453766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490832000000",
    "number": "1235596883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 STERLING HEIGHTS DR",
            "city": "CLIFTON PARK",
            "state": "NY",
            "postal_code": "120653717",
            "telephone_number": "518-265-2969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 STERLING HEIGHTS DR",
            "city": "CLIFTON PARK",
            "state": "NY",
            "postal_code": "120653717",
            "telephone_number": "518-265-2969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIL",
        "first_name": "KRISTEN",
        "credential": "MS, RD, CDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-26",
        "last_updated": "2017-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NY",
            "license": "007842-1",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NY",
            "license": "1015600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clifton Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2017; 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.