Active NPI
Tracey Leigh Gaines, RD, LDN
- Registered Dietitian
- Dover, DE
National Provider Identifier
1992274872
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- L003418
- Practice address
- 60 Washington St
Dover, DE 19901 - Phone
- (919) 724-6678
- NPI assigned
- Nov 20, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | L003418 | NC | Primary |
Addresses
Primary practice location
60 Washington St
Dover, DE 19901
Mailing address
60 Washington St
Dover, DE 19901-3847
Phone (919) 724-6678
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L003418 | NC | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1542672000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1542672000000",
"number": "1992274872",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "60 WASHINGTON ST",
"city": "DOVER",
"state": "DE",
"postal_code": "199013847",
"telephone_number": "919-724-6678"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "60 WASHINGTON ST",
"city": "DOVER",
"state": "DE",
"postal_code": "19901",
"telephone_number": "919-724-6678"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAINES",
"first_name": "TRACEY",
"middle_name": "LEIGH",
"credential": "RD, LDN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-11-20",
"last_updated": "2018-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NC",
"license": "L003418",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dover, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.