Individual provider Active NPI

Gabrielle Rebekah Mitchell, MS, RD, LDN

  • Registered Dietitian
  • Wilmington, DE
National Provider Identifier
1487411401
Registry record updated Apr 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
DN-0011170 Issued in DE
Practice address
501 W 14TH St FL 4
Wilmington, DE 19801-1013
Phone
(302) 623-3475
NPI assigned
Mar 5, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 29, 2024

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 DN-0011170 DE Primary
Registered Dietitian 133V00000X DN008346 PA

Addresses

Primary practice location

501 W 14TH St FL 4
Wilmington, DE 19801-1013

Mailing address

427 Alexander Ave
Drexel Hill, PA 19026-5201
Phone (302) 898-6687

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240404002312 DE Practitioner - Registered Dietitian Or Nutrition Professional 5496193823 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
DN008346PAMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Christiana Care Health Services, Inc Dietitian, Registered Current Accepting new patients
Christiana Care Health Services Inc CurrentSince Mar 25, 2024 Accepting new patients
Christiana Care Health Services Inc Dietitian, Registered CurrentSince Mar 25, 2024 Accepting new patients
Christiana Care Health Services, Inc Past Accepting new patients

Locations

501 W 14th St
#4
Wilmington, DE 19801
Phone (302) 661-3070

501 W 14th St
Fl 4
Wilmington, DE 19801
Phone (302) 623-3475

1401 Foulk Rd
Ste 100B
Wilmington, DE 19803
Phone (302) 320-9440

3506 Kennett Pike
Wilmington, DE 19807
Phone (302) 661-3000

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1709596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714348800000",
    "number": "1487411401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "427 ALEXANDER AVE",
            "city": "DREXEL HILL",
            "state": "PA",
            "postal_code": "190265201",
            "telephone_number": "302-898-6687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 W 14TH ST FL 4",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198011013",
            "telephone_number": "302-623-3475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "GABRIELLE",
        "middle_name": "REBEKAH",
        "credential": "MS, RD, LDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-03-05",
        "last_updated": "2024-04-29",
        "certification_date": "2024-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "DE",
            "license": "DN-0011170",
            "primary": true
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "PA",
            "license": "DN008346",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.