Lillian Ainsworth Glusenkamp, R.D.

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

D0130 Issued in MS

Practice address

1421 Jolly Rd
Columbus, MS 39705-2928

Phone

(662) 251-6896

NPI assigned

Nov 21, 2007

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

Other names 1

• Gertrude Glusenkamp Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1195603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492473600000",
    "number": "1821279522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1421 JOLLY RD",
            "city": "COLUMBUS",
            "state": "MS",
            "postal_code": "397052928",
            "telephone_number": "662-251-6896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1421 JOLLY RD",
            "city": "COLUMBUS",
            "state": "MS",
            "postal_code": "397052928",
            "telephone_number": "662-251-6896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLUSENKAMP",
        "first_name": "LILLIAN",
        "middle_name": "AINSWORTH",
        "credential": "R.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-21",
        "last_updated": "2017-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MS",
            "license": "D0130",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GERTRUDE",
            "last_name": "GLUSENKAMP",
            "credential": "R.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Amanda Gilliland
• Mary Alyssa Gillis
• Tawana Gipson, PMHNP-BC
• Global Pharmaceutical Corporation
• Glory Home Care Services
• GN Hearing Care Corp
• William Bryant Godfrey
• Robbie B. Godwin, D.O.
• Golden Triangle Neurology Clinic, PLLC
• Golden Triangle Pathology

• Registered Dietitian in Columbus, MS
• Providers in Columbus, MS by specialty
• Registered Dietitian in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2017; 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.