MR. JAMES KEVIN GILLIGAN JR. RD, LD
NPI 1629453097
Dietitian, Registered in Mattoon, IL

Active since July 27, 2015
501 LAKE LAND BLVD, MATTOON, IL 61938(217) 258-3370 Get Directions Write a Review

NPPES record last updated: July 27, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. James Kevin Gilligan Jr. Rd, Ld NPPES

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

MR. JAMES KEVIN GILLIGAN JR. RD, LD (NPI 1629453097) is an individual dietitian, registered in Mattoon, Illinois, licensed in Illinois (164006502) and active in the NPI registry since July 2015.

NPPES Registry Identity

NPI1629453097
Entity TypeIndividualMale
Primary Taxonomy133V00000X
Provider Legal NameMR. JAMES KEVIN GILLIGAN JR.Credential: RD, LD
Location Address501 LAKE LAND BLVDMattoon, IL 61938-5283
Mailing Address6612 Winnebago StSaint Louis, MO 63109-1245 · (314) 537-0932
Sole ProprietorNo
Enumeration DateJuly 27, 2015
NPI 1629453097 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
Licenses Licensed in IL · 164006502 Licensed in MO · 2012036779
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.
501 LAKE LAND BLVD, Mattoon, IL 61938

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.

Social Worker
501 LAKE LAND BLVD
MATTOON, IL 61938
Nurse Practitioner
501 LAKE LAND BLVD
MATTOON, IL 61938
Dietitian, Registered
501 LAKE LAND BLVD
MATTOON, IL 61938
Dietitian, Registered
501 LAKE LAND BLVD, SUITE D
MATTOON, IL 61938
Social Worker (Clinical)
501 LAKE LAND BLVD
MATTOON, IL 61938
Clinic/Center (VA)
501 LAKE LAND BLVD
MATTOON, IL 61938

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 James Gilligan's NPI number?

The NPI number for James Gilligan is 1629453097. It was assigned to this individual provider in the NPPES registry on July 27, 2015.

Where is James Gilligan located?

James Gilligan practices at 501 Lake Land Blvd, Mattoon, IL 61938. The listed phone number is (217) 258-3370.

What is James Gilligan'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 James Gilligan was last updated on July 27, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years 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.