Active NPI
Baleana Watts McGilberry, RDN, LDN, CDCES
- Registered Dietitian
- Semmes, AL
National Provider Identifier
1669764395
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 917122
- Practice address
- 4110 Nottingham Dr
Semmes, AL 36575-8218 - Phone
- (251) 459-0695
- Fax
- (251) 459-0695
- NPI assigned
- May 13, 2011
- Last updated
- May 14, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutritionist | 133N00000X | 917122 | AL | |
| Nutrition Education Nutritionist | 133NN1002X | 917122 | AL | |
| Registered Dietitian | 133V00000X | 917122 | AL | Primary |
| Pediatric Nutrition Registered Dietitian | 133VN1004X | 917122 | AL |
Addresses
Primary practice location
4110 Nottingham Dr
Semmes, AL 36575-8218
Mailing address
4110 Nottingham Dr
Semmes, AL 36575-8218
Phone (251) 459-0695
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| D1106 | Other | MS | MISSISSIPPI STATE LICENSE |
| 1712 | Other | AL | ALABAMA STATE LICENSE |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 917122 | AL | MD | Nutrition Education Nutritionist |
| 17122 | AL | MD | Pharmacist |
| 1712 | AL | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1305244800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1747180800000",
"number": "1669764395",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4110 NOTTINGHAM DR",
"city": "SEMMES",
"state": "AL",
"postal_code": "365758218",
"telephone_number": "251-459-0695",
"fax_number": "251-459-0695"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4110 NOTTINGHAM DR",
"city": "SEMMES",
"state": "AL",
"postal_code": "365758218",
"telephone_number": "251-459-0695",
"fax_number": "251-459-0695"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCGILBERRY",
"first_name": "BALEANA",
"middle_name": "WATTS",
"name_prefix": "Mrs.",
"credential": "RDN, LDN, CDCES",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-05-13",
"last_updated": "2025-05-14",
"certification_date": "2025-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "133N00000X",
"taxonomy_group": "",
"desc": "Nutritionist",
"state": "AL",
"license": "917122",
"primary": false
},
{
"code": "133NN1002X",
"taxonomy_group": "",
"desc": "Nutritionist, Nutrition, Education",
"state": "AL",
"license": "917122",
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "AL",
"license": "917122",
"primary": true
},
{
"code": "133VN1004X",
"taxonomy_group": "",
"desc": "Dietitian, Registered, Nutrition, Pediatric",
"state": "AL",
"license": "917122",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MISSISSIPPI STATE LICENSE",
"identifier": "D1106",
"state": "MS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ALABAMA STATE LICENSE",
"identifier": "1712",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Semmes, AL
- Patsy Little, REGISTERED NURSE
- Parag Ashok Mahatekar, M.D.
- Portia Shantez Maye
- Rondal Case McClanahan, RPH
- Sandra McCord, PA-C
- James Lucas McKay, DDS
- Mobile Bay Dental, LLC
- Mobile Bay Vision, LLC
- Mobile County Board of Health (Semmes Clinic)
- Mobile County Emergency Medical Services Systems Inc. (Mobile County EMS)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 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.