Jade Alexa Gibson, RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

2424 Issued in KS

Practice address

6155 Oak St Ste C
Kansas City, MO 64113-2266

Phone

(515) 480-3246

NPI assigned

Apr 10, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Tasty Balance LLC

  • Registered Dietitian
  • Prairie Village, KS
  • NPI 1346835832

  Dietitian, Registered

  NPD

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

{
    "created_epoch": "1618012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618012800000",
    "number": "1740860105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8216 KENWOOD AVE",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641312213",
            "telephone_number": "515-480-3246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6155 OAK ST STE C",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641132266",
            "telephone_number": "515-480-3246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBSON",
        "first_name": "JADE",
        "middle_name": "ALEXA",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-10",
        "last_updated": "2021-04-10",
        "certification_date": "2021-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "KS",
            "license": "2424",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amie Beth Gibler, RN, MSN,FNP-C
• Alexandra Gibson, PHD
• Asia Gibson
• Brooke S Gibson, NP
• Erica Ellis Gibson, MD
• Joseph Andrew Gibson, CRNA
• Julie Ann Gibson, MSW, LCSW
• Margaret E Gibson, MD
• Megan Denise Gibson, PLPC
• Michael Ford Gibson, M.D.

• Registered Dietitian in Kansas City, MO
• Providers in Kansas City, MO by specialty
• Registered Dietitian in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 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.