Individual provider Active NPI

Gayle Lynn Hoxter, RDN

  • Registered Dietitian
  • Riverside, CA
National Provider Identifier
1699432377
Registry record updated Nov 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
611341 Issued in CA
Practice address
4210 Riverwalk Pkwy Ste 400
Riverside, CA 92505-3313
Phone
(951) 453-9083
NPI assigned
Nov 17, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 611341 CA Primary

Addresses

Primary practice location

4210 Riverwalk Pkwy Ste 400
Riverside, CA 92505-3313

Mailing address

PO Box 60
Pala, CA 92059-0060
Phone (951) 551-8009

Other names 1

  • Gayle Lynn Shockey 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)
Enrolled

State licenses

LicenseStateTypeSpecialty
611341CAMDRegistered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1637107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637107200000",
    "number": "1699432377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60",
            "city": "PALA",
            "state": "CA",
            "postal_code": "920590060",
            "telephone_number": "951-551-8009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4210 RIVERWALK PKWY STE 400",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925053313",
            "telephone_number": "951-453-9083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOXTER",
        "first_name": "GAYLE",
        "middle_name": "LYNN",
        "credential": "RDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-17",
        "last_updated": "2021-11-17",
        "certification_date": "2021-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "CA",
            "license": "611341",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GAYLE",
            "last_name": "SHOCKEY",
            "middle_name": "LYNN",
            "credential": "RDN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Riverside, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2021; 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.