Individual provider · Type 1 NPI

Starr'retiece R. Gibson, LICENSED DIETITIAN

Registered Dietitian · Sauget, IL

NPI number 1033934641 Active

Practice location

2071 Goose Lake Rd
Sauget, IL 62206-2822

Mailing address

2041 Goose Lake Rd
Sauget, IL 62206-2822

Specialties and licenses

TaxonomyCodeLicense
Registered Dietitian Primary 133V00000X164.008825 (IL)

Registered Dietitian: 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…

6 other providers at this address

About NPI 1033934641

Starr'retiece R. Gibson, LICENSED DIETITIAN's National Provider Identifier is 1033934641, issued on Nov 19, 2024. The primary taxonomy on file is Registered Dietitian (133V00000X), and the practice location is in Sauget, IL. The record was last updated on Nov 19, 2024.