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Deactivated NPI 1053798223 Deactivated / Inactive NPI Male Practitioner

Jeff Gibberman , MS, RDN, LD, CPT

Dietitian, Registered • Katy, TX

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Jeff Gibberman has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date April 27, 2015
NPI Deactivation Date August 23, 2023
Total Practice Duration ~8 Years of Practice (2015 – 2023)

Professional Overview & Biography Verified Profile Summary

Jeff Gibberman, MS, RDN, LD, CPT was a registered Dietitian, Registered practicing in Katy, TX. Throughout an active medical career spanning 8 years, Jeff Gibberman provided care at the practice location at 21815 OAK PARK TRAILS DR STE 209 until profile deactivation on 2023-08-23.

Practice Location & Contact Primary Location

Practice Address

21815 Oak Park Trails Dr Ste 209

Katy, TX 774506184

Telephone 7139979613
Fax 8325531906
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dietitian, Registered in Katy, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 21.0 Yrs
State Avg: 13.6 Yrs
Regional Practice Density
48 Specialists

Practicing in Katy, TX (5148 Statewide)

Telehealth Adoption Rate
2.1% 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 TX DT83439

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

8 Associated Practitioners
Kristen Shives , RDN, LD

Dietitian, Registered

NPI 1316528664

Registered Dietitian Nutritionist, Licensed Dietitian

Jill Sechi , MS, RD, LD, CEDS-C

Dietitian, Registered

NPI 1467745349

Master of Science, Registered Dietitian, Licensed Dietitian, CEDSC

Sarah Harberd , RDN, LD

Dietitian, Registered

NPI 1639712383

Registered Dietitian Nutritionist, Licensed Dietitian

Jacqueline Tien , RD, LD

Dietitian, Registered

NPI 1699446385

Registered Dietitian, Licensed Dietitian

NPI 1710608617

Registered Dietitian Nutritionist, Licensed Dietitian, Master of Science, International Board Certified Lactation Consultant

Kylie Mitchell , RDN, MPH, LD

Dietitian, Registered

NPI 1821466632

Registered Dietitian Nutritionist, Master of Public Health, Licensed Dietitian

Career & Practice History Timeline

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

17 Historical Events
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NPI Profile Deactivated August 23, 2023

Record deactivated on August 23, 2023

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Provider Name / Credentials Updated January 28, 2022

Recorded as JEFFREY GIBBERMAN, MS, RDN, LD, CFT

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Updated Practice Location November 25, 2021

Registered at 411 PARK GROVE DR STE 720, KATY, TX 774501577 (Tel: 7139979613)

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Updated Business Mailing Address November 25, 2021

Registered at 411 PARK GROVE DR STE 720, KATY, TX 774501577 (Tel: 7139979613)

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Updated Practice Location June 12, 2019

Registered at 9040 JACKSON AVE, TACOMA, WA 984310001 (Tel: 2539681484)

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Updated Business Mailing Address June 12, 2019

Registered at 9040 JACKSON AVE, TACOMA, WA 984310001

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Updated Practice Location May 23, 2019

Registered at 9040A JACKSON AVE, JOINT BASE LEWIS MCCHORD, WA 984310001 (Tel: 2534770840)

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Updated Practice Location February 14, 2019

Registered at WINDER FAMILY MEDICINE CLINIC 9040A JACKSON AVE, TACOMA, WA 984310001 (Tel: 2534770840)

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Updated Practice Location February 08, 2019

Registered at 9119 MIL PARK AVE, TACOMA, WA 98433 (Tel: 2534770840)

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Updated Business Mailing Address February 08, 2019

Registered at 9119 MIL PARK AVE, JBLM, WA 98433 (Tel: 2534770840)

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Provider Name / Credentials Updated February 08, 2019

Recorded as JEFF GIBBERMAN, MS, RDN, LD, CFT

NPI Profile Active October 19, 2015

NPI status registered as active in NPPES database

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Updated Practice Location October 19, 2015

Registered at 21815 OAK PARK TRAILS DR STE 209, KATY, TX 774506184 (Tel: 7139979613)

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Updated Business Mailing Address October 19, 2015

Registered at 21815 OAK PARK TRAILS DR STE 209, KATY, TX 774506184 (Tel: 7139979613)

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Provider Name / Credentials Updated October 19, 2015

Recorded as JEFF GIBBERMAN, MS, RDN, LD, CPT

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Medical Taxonomy / Specialty Registered (Primary Specialty) October 19, 2015

Dietitian, Registered (License #DT83439 in TX)

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Initial NPI Registration & Enumeration April 27, 2015

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: 1053798223
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 27, 2015
Last Update: October 19, 2015
Deactivation Date: August 23, 2023

Mailing Address

21815 Oak Park Trails Dr Ste 209

Katy, TX 774506184

Phone: 7139979613

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.