Gina Anne Kersh, RDN, LD

Primary specialty

Nutrition Education NutritionistTaxonomy code 133NN1002X

License

0449 Issued in AR

Practice address

214 W Modesto Ave
Russellville, AR 72801-2324

Phone

(479) 651-8547

Fax

(844) 755-5666

NPI assigned

Jun 3, 2014

Last updated

Nov 2, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Mrs. Gina Anne Barnett Former name

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Specialty

Registered Dietitian Or Nutrition Professional

Education

Other, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Prescriptive Nutrition, LLC

  • Nutritionist
  • Russellville, AR
  • NPI 1285040386
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1401753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635811200000",
    "number": "1942613302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 W MODESTO AVE",
            "city": "RUSSELLVILLE",
            "state": "AR",
            "postal_code": "728012324",
            "telephone_number": "479-651-8547",
            "fax_number": "844-755-5666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 W MODESTO AVE",
            "city": "RUSSELLVILLE",
            "state": "AR",
            "postal_code": "728012324",
            "telephone_number": "479-651-8547",
            "fax_number": "844-755-5666"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7001 Rogers Ave Ste 600",
            "address_purpose": "LOCATION",
            "city": "Fort Smith",
            "state": "AR",
            "postal_code": "729034073",
            "country_code": "US",
            "telephone_number": "479-651-8547",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KERSH",
        "first_name": "GINA",
        "middle_name": "ANNE",
        "name_prefix": "Mrs.",
        "credential": "RDN, LD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-06-03",
        "last_updated": "2021-11-02",
        "certification_date": "2021-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "AR",
            "license": "REGISTRATION 818990",
            "primary": false
        },
        {
            "code": "133NN1002X",
            "taxonomy_group": "",
            "desc": "Nutritionist, Nutrition, Education",
            "state": "AR",
            "license": "0449",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GINA",
            "last_name": "BARNETT",
            "middle_name": "ANNE",
            "prefix": "MRS.",
            "credential": "RD, LD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Shelby Kelly
• Krystal Kendrick
• Stephanie Kennedy, OT
• Kent D Bartlett DDS PA
• Douglas Kerin, MD
• Crystal Lynn Kibler, DNP, APRN, FNP-C
• Janice Nicole Kile, PHARMD
• Stephen M. Killingsworth, MD
• Kimberly Wells Counseling LLC
• Sarah Kimbrow

• Nutrition Education Nutritionist in Russellville, AR
• Providers in Russellville, AR by specialty
• Nutrition Education Nutritionist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.