GRACE ANN GIBSON RD - NPI 1346427341 - Dietitian, Registered in Scott Depot, WV

Q: What is Grace Gibson's NPI number?

The NPI number for Grace Gibson is 1346427341. It was assigned to this individual provider in the NPPES registry on January 22, 2008.

Q: What is Grace Gibson's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Grace Gibson was last updated on August 2, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Grace Ann Gibson Rd NPPES

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

GRACE ANN GIBSON RD (NPI 1346427341) is an individual dietitian, registered in Scott Depot, West Virginia, licensed in West Virginia (9) and active in the NPI registry since January 2008.

NPPES Registry Identity

NPI1346427341

Entity TypeIndividualFemale

Primary Taxonomy133V00000X

Provider Legal NameGRACE ANN GIBSONCredential: RD

Location Address97 GREAT TEAYS BLVD STE 6Scott Depot, WV 25560-9816

Mailing Address301-6 Great Teays BlvdScott Depot, WV 25560 · (304) 757-6999 · Fax (304) 757-3252

Phone(304) 757-6999

Fax(304) 760-3618

Sole ProprietorNo

Enumeration DateJanuary 22, 2008

Last NPPES UpdateAugust 2, 2019

✔ NPI 1346427341 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 WV · 9

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.

97 GREAT TEAYS BLVD STE 6, Scott Depot, WV 25560

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Other Identifiers 3

Medicaid1346427341WV

Medicaid3810010676WV

Other001998725WV · Ms Bcbs

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

Other Providers at the Same Location NPPES 15

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

MRS. HOLLY MICHELLE JORDAN MSW, LICSW, AADC

Social Worker (Clinical)