Colleen A Gill, RD CN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

5215038 Issued in NY

Practice address

5259 Parkside Dr FL Ddso
Canandaigua, NY 14424-7507

Phone

(800) 452-4256

Fax

(585) 394-9405

NPI assigned

Apr 16, 2007

Last updated

Jul 8, 2007By the provider in NPPES

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

State licenses

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

{
    "created_epoch": "1176681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1841415957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1180 WEST AVE",
            "city": "MIDDLESEX",
            "state": "NY",
            "postal_code": "145079602",
            "telephone_number": "585-554-3060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5259 PARKSIDE DR FL DDSO",
            "city": "CANANDAIGUA",
            "state": "NY",
            "postal_code": "144247507",
            "telephone_number": "800-452-4256",
            "fax_number": "585-394-9405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILL",
        "first_name": "COLLEEN",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "RD CN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NY",
            "license": "5215038",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Germain Jean-Charles DDS PC
• Martha Gersbach
• Michelle Ann Gerwig, PHARM. D.
• Gina R Giannetti, MS, RDN, CD-N
• William Gibson, PHD
• Deborah Sue Gillmor-Mroz
• Toby Ann Gilman, MS,RN
• Oliver Gilroy, RN, RNFA
• Mary Wetherby Gleason, RN
• Kipling B Goh, M.D.

• Registered Dietitian in Canandaigua, NY
• Providers in Canandaigua, NY by specialty
• Registered Dietitian in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.