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GAYLE JOANNE JENNINGS R.D.
NPI 1669705679
Dietitian, Registered in Springfield, IL

Active since September 09, 2009
520 N 4TH ST, SPRINGFIELD, IL 62702(217) 545-8000(217) 747-1351 Get Directions Write a Review

NPPES record last updated: May 19, 2016. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Gayle Joanne Jennings R.d. NPPES

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

GAYLE JOANNE JENNINGS R.D. (NPI 1669705679) is an individual dietitian, registered in Springfield, Illinois, licensed in Illinois (164003330) and active in the NPI registry since September 2009.

NPPES Registry Identity

NPI1669705679
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameGAYLE JOANNE JENNINGSCredential: R.D.
Location Address520 N 4TH STSpringfield, IL 62702-5238
Mailing Address520 N 4th St, Po Box 19670Springfield, IL 62702-5238 · (217) 545-8000 · Fax (217) 747-1351
Phone(217) 545-8000
Fax(217) 747-1351
Sole ProprietorNo
Enumeration DateSeptember 9, 2009
Last NPPES UpdateMay 19, 2016
✔ NPI 1669705679 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 · 164003330
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.
520 N 4TH ST, Springfield, IL 62702
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Other Names 1

Former Name (1)Gayle Joanne Theobald

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Gayle Joanne Jennings R.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Gayle Jennings reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Board Of Trustees Of Southern Illinois University
0.7 mi
Primary Care
520 N 4TH ST
Springfield, IL 62702
  • Reassigned Medicare billing, Illinois enrollment
  • 262 clinicians in this Medicare group
NPI 1396097960 (217) 757-8100

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

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

MRS. AMANDA B HENSON LCSW
Social Worker (Clinical)
520 N 4TH ST
SPRINGFIELD, IL 62702
Sangamon County (217) 545-8000
DR. BASAR CENIK M.D.
Psychiatry & Neurology (Psychiatry)
520 N 4TH ST
SPRINGFIELD, IL 62702
Sangamon County (217) 545-8000
DR. HARI IYENGAR MD
Family Medicine
520 N 4TH ST
SPRINGFIELD, IL 62702
Sangamon County (217) 757-8100
DR. JOSEPH DOUGLAS WRIGHT DO
Family Medicine
520 N 4TH ST
SPRINGFIELD, IL 62702
Sangamon County (217) 757-8197
HELEN L MOOSE CNM-MS
Advanced Practice Midwife
520 N 4TH ST
SPRINGFIELD, IL 62702
Sangamon County (217) 545-8000
JANET R ALBERS M.D.
Family Medicine
520 N 4TH ST
SPRINGFIELD, IL 62702
Sangamon County (217) 545-8000
ANNETTE REESE
Community Health Worker
520 N 4TH ST
SPRINGFIELD, IL 62702
Sangamon County (217) 545-8000
AMBER GUYTON
Advanced Practice Midwife
520 N 4TH ST
SPRINGFIELD, IL 62702
Sangamon County (217) 545-8000

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 Gayle Jennings's NPI number?

The NPI number for Gayle Jennings is 1669705679. It was assigned to this individual provider in the NPPES registry on September 9, 2009. The provider is also known as Gayle Joanne Theobald.

Where is Gayle Jennings located?

Gayle Jennings practices at 520 N 4th St, Springfield, IL 62702. The listed phone number is (217) 545-8000.

What is Gayle Jennings's specialty?

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

Is Gayle Jennings enrolled in Medicare?

Yes. Gayle Jennings is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Gayle Jennings's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Gayle Jennings reassigns Medicare benefits to Board Of Trustees Of Southern Illinois University (Springfield, IL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Gayle Jennings's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Gayle Jennings was last updated on May 19, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.