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STARR'RETIECE R GIBSON LICENSED DIETITIAN
NPI 1033934641
Dietitian, Registered in Sauget, IL

Active since November 19, 2024
2071 GOOSE LAKE RD, SAUGET, IL 62206(618) 857-2700 Get Directions Write a Review

NPPES record last updated: November 19, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Starr'retiece R Gibson Licensed Dietitian NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STARR'RETIECE R GIBSON LICENSED DIETITIAN (NPI 1033934641) is an individual dietitian, registered in Sauget, Illinois, licensed in Illinois (164.008825) and active in the NPI registry since November 2024.

NPPES Registry Identity

NPI1033934641
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameSTARR'RETIECE R GIBSONCredential: LICENSED DIETITIAN
Location Address2071 GOOSE LAKE RDSauget, IL 62206-2822
Mailing Address2041 Goose Lake RdSauget, IL 62206-2822 · (618) 332-0953
Phone(618) 857-2700
Sole ProprietorNo
Enumeration DateNovember 19, 2024
NPPES CertifiedNovember 19, 2024
✔ NPI 1033934641 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
License✔ Licensed in IL · 164.008825
Definition
A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.
2071 GOOSE LAKE RD, Sauget, IL 62206
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Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SOUTHERN ILLINOIS HEALTHCARE FOUNDATION, INC.
Clinic/Center (Federally Qualified Health Center (FQHC))
2071 GOOSE LAKE RD
SAUGET, IL 62206
St. Clair County (618) 337-9461
BEST FOOT FORWARD CORP
Durable Medical Equipment & Medical Supplies
2071 GOOSE LAKE RD
SAUGET, IL 62206
St. Clair County (618) 800-3668
SAMANTHA FISHER PA-C
Physician Assistant
2071 GOOSE LAKE RD
SAUGET, IL 62206
St. Clair County (618) 857-2700
SOUTHERN ILLINOIS HEALTHCARE FOUNDATION, INC.
Clinic/Center (Federally Qualified Health Center (FQHC))
2071 GOOSE LAKE RD
SAUGET, IL 62206
St. Clair County (618) 332-5369
R&R 1 LLC
Orthopaedic Surgery (Adult Reconstructive Orthopaedic Surgery)
2071 GOOSE LAKE RD
SAUGET, IL 62206
St. Clair County (618) 857-2634
MICHAEL RILEY JR. PT
Physical Therapist
2071 GOOSE LAKE RD
SAUGET, IL 62206
St. Clair County (618) 337-9450

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Starr'retiece Gibson's NPI number?

The NPI number for Starr'retiece Gibson is 1033934641. It was assigned to this individual provider in the NPPES registry on November 19, 2024.

Where is Starr'retiece Gibson located?

Starr'retiece Gibson practices at 2071 Goose Lake Rd, Sauget, IL 62206. The listed phone number is (618) 857-2700.

What is Starr'retiece Gibson's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

When was this NPI record last updated?

The NPPES record for Starr'retiece Gibson was last updated on November 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.