Active NPI
Gail King, R.D.
- Registered Dietitian
- Detroit, MI
National Provider Identifier
1306172523
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 800034
- Practice address
- 1420 Washington Blvd Ste 301
Detroit, MI 48226-1718 - Phone
- (734) 444-6720
- Fax
- (313) 284-7422
- NPI assigned
- Oct 22, 2009
- 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 | 800034 | MI | Primary |
Addresses
Primary practice location
1420 Washington Blvd Ste 301
Detroit, MI 48226-1718
Mailing address
13183 Backus St
Southgate, MI 48195-1147
Phone (734) 444-6720
Other practice location 1
220 S Main St
Royal Oak, MI 48067-2676
Phone (734) 444-6720
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | gking677@neiappam.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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 800034 | MI | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fay Nutrition | Dietitian, Registered | Past | Accepting new patients |
| Nourish, Inc. | Dietitian, Registered | Past | Accepting new patients |
| Marjorie Nolan Cohn LLC | Dietitian, Registered | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1256169600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1634601600000",
"number": "1306172523",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13183 BACKUS ST",
"city": "SOUTHGATE",
"state": "MI",
"postal_code": "481951147",
"telephone_number": "734-444-6720",
"fax_number": "313-284-7422"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1420 WASHINGTON BLVD STE 301",
"city": "DETROIT",
"state": "MI",
"postal_code": "482261718",
"telephone_number": "734-444-6720",
"fax_number": "313-284-7422"
}
],
"practiceLocations": [
{
"address_1": "220 S Main St",
"address_purpose": "LOCATION",
"city": "Royal Oak",
"state": "MI",
"postal_code": "480672676",
"country_code": "US",
"telephone_number": "734-444-6720",
"fax_number": "313-284-7244",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KING",
"first_name": "GAIL",
"credential": "R.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-10-22",
"last_updated": "2021-10-19",
"certification_date": "2021-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MI",
"license": "800034",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "gking677@neiappam.com",
"affiliation": "N",
"endpointDescription": "hippa compliant google mail",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "13183 Backus St",
"city": "Southgate",
"state": "MI",
"country_code": "US",
"postal_code": "481951147",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Detroit, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.