Kimberly Marie Gillen, RDN LD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Practice address

8100 E 22ND St N Ste D
Wichita, KS 67226-2388

Phone

(316) 630-8243

NPI assigned

Apr 25, 2022

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

• Kimberly Marie Gillen Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in KS

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Marstall Nutritional Consulting LLC

  • Registered Dietitian
  • Wichita, KS
  • NPI 1568109056

  Dietitian, Registered

  Medicare reassignment NPD Authorized official
• Taylor Alexandria Ulrey

  • Marriage & Family Therapist
  • Kansas City, MO
  • NPI 1518686195
  NPD

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

{
    "created_epoch": "1650844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652313600000",
    "number": "1932843174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8100 E 22ND ST N STE D",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672262388",
            "telephone_number": "316-630-8243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8100 E 22ND ST N STE D",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672262388",
            "telephone_number": "316-630-8243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILLEN",
        "first_name": "KIMBERLY",
        "middle_name": "MARIE",
        "credential": "RDN LD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-25",
        "last_updated": "2022-05-12",
        "certification_date": "2022-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "KS",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kmarstall@hotmail.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "fax",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "fax",
            "address_1": "8100 E 22nd St N Ste D",
            "city": "Wichita",
            "state": "KS",
            "country_code": "US",
            "postal_code": "672262388",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "GILLEN",
            "middle_name": "MARIE",
            "credential": "RDN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Robert David Gile, M.D.
• Betsy Giles, MD
• Eric Gill
• Morgan Gillam, MD
• Katelyn Joy Gilleland, MD
• Cole Gillenwater, M.D.
• Dennis M Gillenwater, D.C.
• Carrie Gillett, LCMFT
• Raymond Michael Gillett, LMSW, LAC, MDIV
• Kimberly A Gillette, RRT

• Registered Dietitian in Wichita, KS
• Providers in Wichita, KS by specialty
• Registered Dietitian in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.