Cailyn Gillis, RD, LN
Individual provider Active NPI Registered Dietitian · Glen, MT
NPI 1609401496 · NPPES record last updated Mar 18, 2024
Key facts
- NPI
- 1609401496
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- License
- MED-NUTR-LIC-79498 (MT)
- Practice address
- 19750 Mt Highway 91 N
Glen, MT 59732-8507 - Phone
- (406) 868-8915
- NPI assigned
- Mar 11, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MED-NUTR-LIC-79498 | MT | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pursuit Dietetics, PLLC | Dietitian, Registered | Current |
Accepting new patients |
Locations
609 Pronghorn Trl
#C
Bozeman, MT 59718
Phone (406) 201-9020
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | MED-NUTR-LIC-79498 | MT | Yes |
Addresses
Primary practice location
19750 Mt Highway 91 N
Glen, MT 59732-8507
Mailing address
PO Box 922
Bozeman, MT 59771-0922
Other practice location 1
609 Pronghorn Trl # C
Bozeman, MT 59718-7090
Phone (406) 868-8915
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 86130394 | Other | COMMISSION ON DIETETIC REGISTRATION | |
| MED-NUTR-LIC-79498 | Other | MT | STATE OF MONTANA BOARD OF MEDICAL EXAMINERS |
| 336 | Other | WY | STATE OF WYOMING DIETETICS LICENSING BOARD |
Other names
- Cailyn Schroeder
Other providers in Glen, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 18, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.