Active NPI
Gage M Fink, RD, RDN
- Registered Dietitian
- Marion, IL
National Provider Identifier
1427650332
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Practice address
- 3333 W Deyoung St
Marion, IL 62959-5884 - Phone
- (217) 638-1486
- NPI assigned
- Nov 15, 2020
- Last updated
- Nov 15, 2020
- Sex
- Male
- Sole proprietor
- No
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 | NU | Primary |
Addresses
Primary practice location
3333 W Deyoung St
Marion, IL 62959-5884
Mailing address
1001 E Park St Apt 1B
Carbondale, IL 62901-3881
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1605398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1605398400000",
"number": "1427650332",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1001 E PARK ST APT 1B",
"city": "CARBONDALE",
"state": "IL",
"postal_code": "629013881"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3333 W DEYOUNG ST",
"city": "MARION",
"state": "IL",
"postal_code": "629595884",
"telephone_number": "217-638-1486"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FINK",
"first_name": "GAGE",
"middle_name": "M",
"credential": "RD, RDN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-11-15",
"last_updated": "2020-11-15",
"certification_date": "2020-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Marion, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.