Individual provider Active NPI

Holly Gonzales-Gilligan, MA, RD

  • Registered Dietitian
  • Rochester, NY
National Provider Identifier
1457725855
Registry record updated Nov 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
86032086 Issued in NY
Practice address
10 Miracle Mile Dr
Rochester, NY 14623-5851
Phone
(315) 945-4278
NPI assigned
Nov 23, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 86032086 CT
Registered Dietitian 133V00000X 86032086 NY Primary

Addresses

Primary practice location

10 Miracle Mile Dr
Rochester, NY 14623-5851

Mailing address

10 Miracle Mile Dr
Rochester, NY 14623-5851
Phone (585) 945-4278

Other identifiers 1

IdentifierTypeStateIssuer
C02658OtherCTMEDICARE YNHH

Other names 1

  • Holly Gilligan Former name

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
86032086CTMDRegistered Dietitian
86032086NYMDRegistered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1448236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763510400000",
    "number": "1457725855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 MIRACLE MILE DR",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146235851",
            "telephone_number": "585-945-4278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 MIRACLE MILE DR",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146235851",
            "telephone_number": "315-945-4278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALES-GILLIGAN",
        "first_name": "HOLLY",
        "credential": "MA, RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-23",
        "last_updated": "2025-11-19",
        "certification_date": "2025-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "CT",
            "license": "86032086",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NY",
            "license": "86032086",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE YNHH",
            "identifier": "C02658",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HOLLY",
            "last_name": "GILLIGAN",
            "credential": "MA, RD, CDN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Rochester, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2025; 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.