Kelly Ann Gantous, RDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Practice address

5761 E Palm Oasis St
Palm Springs, CA 92264-6430

Phone

(760) 835-5768

NPI assigned

Nov 8, 2022

Last updated

Nov 8, 2022By 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)

Not enrolled

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

{
    "created_epoch": "1667865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667865600000",
    "number": "1417665589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5761 E PALM OASIS ST",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922646430",
            "telephone_number": "760-835-5768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5761 E PALM OASIS ST",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922646430",
            "telephone_number": "760-835-5768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GANTOUS",
        "first_name": "KELLY",
        "middle_name": "ANN",
        "credential": "RDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-11-08",
        "last_updated": "2022-11-08",
        "certification_date": "2022-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Paul Gallagher, L.C.S.W.
• Janelle Gallardo, OD
• Maria De Jesus Gallegos
• Ana Galloway
• Martha Cotton Ganet, LCPC
• Jazmin Garcia Garivo, DPM
• Grace Marie Garcia Prieto, AMFT
• Alexandra Garcia-Jimenez
• Jesey Navel Garcia-Rivas, DRIVER
• Daniela Garcia-Torres, BACHELORS DEGREE

• Registered Dietitian in Palm Springs, CA
• Providers in Palm Springs, CA by specialty
• Registered Dietitian in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2022; 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.