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Active NPI 1033934641 Individual Practitioner Female Practitioner

Starr'retiece R Gibson , LICENSED DIETITIAN

Dietitian, Registered • Sauget, IL

Professional Overview & Biography Verified Profile Summary

Starr'Retiece Gibson, LICENSED DIETITIAN is a registered healthcare professional specializing in Dietitian, Registered in Sauget, IL. Practice services are available at 2071 GOOSE LAKE RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2071 Goose Lake Rd

Sauget, IL 622062822

Telephone 6188572700
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dietitian, Registered in Sauget, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 16.7 Yrs
Regional Practice Density
1 Specialists

Practicing in Sauget, 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

CMS Verified: 2024-11-19
Dietitian, Registered Primary Specialty

NUCC Taxonomy Code: 133V00000X

State License IL 164.008825

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

1 Associated Practitioners
Samantha Fisher , PA-C

Physician Assistant

NPI 1386272060

Physician Assistant (Certified)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active November 19, 2024

NPI status registered as active in NPPES database

📍
Updated Practice Location November 19, 2024

Registered at 2071 GOOSE LAKE RD, SAUGET, IL 622062822 (Tel: 6188572700)

📍
Updated Business Mailing Address November 19, 2024

Registered at 2041 GOOSE LAKE RD, SAUGET, IL 622062822 (Tel: 6183320953)

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Provider Name / Credentials Updated November 19, 2024

Recorded as STARR'RETIECE GIBSON, LICENSED DIETITIAN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 19, 2024

Dietitian, Registered (License #164.008825 in IL)

🟢
Initial NPI Registration & Enumeration November 19, 2024

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1033934641
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 19, 2024
Last Update: November 19, 2024
Sole Proprietor: No

Mailing Address

2041 Goose Lake Rd

Sauget, IL 622062822

Phone: 6183320953

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.