Gilligan Nutrition Counseling LLC

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

GILLIGAN NUTRITION COUNSELING LLC

Practice address

10104 Conway Rd
Saint Louis, MO 63124-1240

Phone

(314) 537-0932

NPI assigned

Dec 8, 2019

Organization subpart

No

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

Authorized official

Name

Mr. James Gilligan Jr., RDN

Title

Dietitian

Phone

(314) 537-0932

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1575763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1575763200000",
    "number": "1366089443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10104 CONWAY RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631241240",
            "telephone_number": "314-537-0932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10104 CONWAY RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631241240",
            "telephone_number": "314-537-0932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GILLIGAN NUTRITION COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-08",
        "last_updated": "2019-12-08",
        "certification_date": "2019-12-08",
        "status": "A",
        "authorized_official_last_name": "GILLIGAN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "DIETITIAN",
        "authorized_official_telephone_number": "314-537-0932",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "RDN"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nadia Gillette, NNP-BC
• Jasen Gilley, M.D.
• Aisha Gilliam, LPC
• Mary Pat Gilliam, M.S.W., L.C.S.W.
• Spencer M Gilliam
• Jason Ray Gillihan, MD
• Tyffany Gilliland
• Tony Deon Gillon Jr., M.ED., LPC
• Elisha Anne Gillum, MPT
• Jeffrey Thomas Gillum, MPT

• Health Service Clinic/Center in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Health Service Clinic/Center in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2019; 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.