Brandi Nicole Gilley, R.D. L.D.

Primary specialty

Metabolic Nutrition Registered DietitianTaxonomy code 133VN1006X

License

1769 Issued in KY

Practice address

525 Whitley St
London, KY 40741-2626

Phone

(606) 878-7754

Fax

(606) 864-8295

NPI assigned

Nov 19, 2007

Last updated

Sep 22, 2008By the provider in NPPES

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)

Enrolled

Practice roles

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.

• Laurel County Health Department

  • State or Local Public Health Clinic/Center
  • London, KY
  • NPI 1629298260
  NPD (past)

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

{
    "created_epoch": "1195430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222041600000",
    "number": "1396926325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 WHITLEY ST",
            "city": "LONDON",
            "state": "KY",
            "postal_code": "407412626",
            "telephone_number": "606-878-7754",
            "fax_number": "606-864-8295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 WHITLEY ST",
            "city": "LONDON",
            "state": "KY",
            "postal_code": "407412626",
            "telephone_number": "606-878-7754",
            "fax_number": "606-864-8295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILLEY",
        "first_name": "BRANDI",
        "middle_name": "NICOLE",
        "name_prefix": "Mrs.",
        "credential": "R.D. L.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-11-19",
        "last_updated": "2008-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133VN1006X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Metabolic",
            "state": "KY",
            "license": "1769",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Metabolic Nutrition Registered Dietitian in London, KY
• Providers in London, KY by specialty
• Metabolic Nutrition Registered Dietitian in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2008; 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.