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Active NPI 1629453097 Individual Practitioner Male Practitioner

James Kevin Gilligan , RD, LD

Dietitian, Registered • Mattoon, IL

Professional Overview & Biography Verified Profile Summary

James Gilligan, RD, LD is a registered healthcare professional specializing in Dietitian, Registered in Mattoon, IL. Practice services are available at 501 LAKE LAND BLVD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

501 Lake Land Blvd

Mattoon, IL 619385283

Telephone 2172583370
Associated Practice Facility / Clinic
🏢 Danville Vamc Facility NPI 1861725699

Specialty Benchmarks & Practice Insights

Comparative analytics for Dietitian, Registered in Mattoon, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 32.0 Yrs
State Avg: 16.7 Yrs
Regional Practice Density
17 Specialists

Practicing in Mattoon, IL (2895 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dietitian, Registered Primary Specialty

NUCC Taxonomy Code: 133V00000X

State License IL 164006502

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.

Dietitian, Registered

NUCC Taxonomy Code: 133V00000X

State License MO 2012036779

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners
Haley Hasbargen

Social Worker

NPI 1073294898
Tonya White , NP-C

Nurse Practitioner

NPI 1073976700

Nurse Practitioner (Certified)

Ellen Homann , MS, RD, LDN

Dietitian, Registered

NPI 1316242233

Master of Science, Registered Dietitian, Licensed Dietitian Nutritionist

Janis Wolf , LCSW

Social Worker - Clinical

NPI 1497924914

Licensed Clinical Social Worker

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 27, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location July 27, 2015

Registered at 501 LAKE LAND BLVD, MATTOON, IL 619385283 (Tel: 2172583370)

📍
Updated Business Mailing Address July 27, 2015

Registered at 6612 WINNEBAGO ST, SAINT LOUIS, MO 631091245 (Tel: 3145370932)

👤
Provider Name / Credentials Updated July 27, 2015

Recorded as JAMES GILLIGAN, RD, LD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 27, 2015

Dietitian, Registered (License #164006502 in IL)

🟢
Initial NPI Registration & Enumeration July 27, 2015

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1629453097
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 27, 2015
Last Update: July 27, 2015
Sole Proprietor: No

Mailing Address

6612 Winnebago St

Saint Louis, MO 631091245

Phone: 3145370932

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.