Individual provider Active NPI

Ginny Kristine Williams, RDN

  • Registered Dietitian
  • Dewey, IL
National Provider Identifier
1497110324
Registry record updated Mar 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
164006692 Issued in IL
Practice address
3039 County Road 900 E
Dewey, IL 61840-9703
Phone
(217) 840-3142
NPI assigned
Dec 18, 2015
Sex
Female
Sole proprietor
No

Organizations & group practices 1

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.

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
164006692ILMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Nutrition Intuition LLC Dietitian, Registered CurrentSince Apr 3, 2022 Accepting new patients

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 164006692 IL Primary

Addresses

NPPES NPI Registry

Primary practice location

3039 County Road 900 E
Dewey, IL 61840-9703

Mailing address

3039 County Road 900 E
Dewey, IL 61840-9703
Phone (217) 840-3142

Other names 1

NPPES NPI Registry
  • Ginny Kristine Thomas Former name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 30, 2022.

{
    "created_epoch": "1450396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648598400000",
    "number": "1497110324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3039 COUNTY ROAD 900 E",
            "city": "DEWEY",
            "state": "IL",
            "postal_code": "618409703",
            "telephone_number": "217-840-3142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3039 COUNTY ROAD 900 E",
            "city": "DEWEY",
            "state": "IL",
            "postal_code": "618409703",
            "telephone_number": "217-840-3142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "GINNY",
        "middle_name": "KRISTINE",
        "credential": "RDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-18",
        "last_updated": "2022-03-30",
        "certification_date": "2022-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "IL",
            "license": "164006692",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GINNY",
            "last_name": "THOMAS",
            "middle_name": "KRISTINE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Dewey, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 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.