BROOKE GACEK (NPI# 1770118622) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770118622 |
| Entity Type | Individual |
| Full Name | BROOKE GACEK |
| Other Name | BROOKE FISHER |
| Credential | RDN, LD |
| Practice Address |
6701 Airport Blvd Ste A101 Mobile AL 36608-6767 |
| Mailing Address |
2889 Sollie Rd Apt 303 Mobile AL 36695-5535 |
| Practice Telephone | 2516338880 |
| Enumeration Date | 2020-03-10 |
| Last Update Date | 2020-03-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 3114 | AL | Dietary & Nutritional Service Providers |
| Street Address |
6701 AIRPORT BLVD STE A101 |
| City | MOBILE |
| State | AL |
| Zip Code | 36608-6767 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043264294 | Carmen P May | Nurse Practitioner | 6701 Airport Blvd Ste A101, Mobile, AL 36608-6767 | 2006-05-20 |
| 1790384196 | Jill Gates | Nurse Practitioner | 6701 Airport Blvd Ste A101, Mobile, AL 36608-6767 | 2020-10-19 |
| 1578178943 | Deanna Willyerd | Nurse Practitioner | 6701 Airport Blvd Ste A101, Mobile, AL 36608-6767 | 2020-09-13 |
| 1750993945 | Brittany M Wilson | Nurse Practitioner | 6701 Airport Blvd Ste A101, Mobile, AL 36608-6767 | 2020-08-19 |
| 1699307942 | Breanne Curtis Bishop | Nurse Practitioner | 6701 Airport Blvd Ste A101, Mobile, AL 36608-6767 | 2020-02-05 |
| 1518424266 | Kelly Vincent Dauenheimer | Nurse Practitioner | 6701 Airport Blvd Ste A101, Mobile, AL 36608-6767 | 2019-02-28 |
| 1194201277 | Clay Sheffield Agee | Nurse Practitioner | 6701 Airport Blvd Ste A101, Mobile, AL 36608-6767 | 2018-07-12 |
| 1124529870 | University of South Alabama Health Care Authority Physician Billing Co | Clinic/Center | 6701 Airport Blvd Ste A101, Mobile, AL 36608-6767 | 2018-02-27 |
| 1174919153 | Adam Herring | Internal Medicine | 6701 Airport Blvd Ste A101, Mobile, AL 36608-6767 | 2015-04-07 |
| 1821406026 | Rosanne B. Wilson | Nurse Practitioner | 6701 Airport Blvd Ste A101, Mobile, AL 36608-6767 | 2014-07-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609475524 | Grantham Dental, Inc. | Dentist | 3620 Springhill Memorial Drive South, Mobile, AL 36608 | 2020-10-21 |
| 1114540879 | Dearrius Hines | Home Health Aide | 1370 Lucerne Dr, Mobile, AL 36608 | 2020-05-28 |
| 1558980409 | Rachel Stevens | Registered Nurse | 8507 Tanner Williams Rd, Mobile, AL 36608 | 2020-04-10 |
| 1073170700 | Usa Health Physician Billing Services LLC | Otolaryngology | 5721 Usa Drive North, Hahn 1119, Mobile, AL 36608 | 2019-05-29 |
| 1952885600 | Franklin Primary Health Center Inc. | Dentist | 990 Cody Rd North, Mobile, AL 36608 | 2018-09-19 |
| 1114410040 | Zackary Elkins | Optometrist | 105 W I65 Service Rd N, Mobile, AL 36608 | 2018-06-14 |
| 1023562865 | Covenant Hospice, Inc. | Internal Medicine | 6801 Airport Blvd., Main Tower, 11th Floor North, Mobile, AL 36608 | 2016-08-10 |
| 1730575416 | Rayven Likely | Student in an Organized Health Care Education/Training Program | 1014 Centerwood Dr, Mobile, AL 36608 | 2015-04-09 |
| 1598040461 | Robert S Harlin | Specialist | 75 Clarise Circle, Mobile, AL 36608 | 2011-10-11 |
| 1972884948 | Heidi Michelle Mcdermott | Physical Therapist | 5721 Usa Drive N, Hahn 2050, Mobile, AL 36608 | 2011-09-06 |
| Find all providers in zip 36608 | ||||
| Taxonomy Code | 133V00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration. |
| Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689208886 | Joanna Starks Danzy | Dietitian, Registered | 5550 Vanderbilt Dr N, Mobile, AL 36608-3084 | 2020-02-26 |
| 1144869595 | Amanda Kelley Arnold | Dietitian, Registered | 2557 S Durham Dr, Mobile, AL 36606-1742 | 2020-01-02 |
| 1720506868 | Rebecca Light | Dietitian, Registered | Po Box 2867, Mobile, AL 36652-2867 | 2017-09-08 |
| 1467979468 | Patricia K. James | Dietitian, Registered | 350 N Broad St Ste K, Mobile, AL 36603-5811 | 2017-08-29 |
| 1013398585 | Colleen Dawley | Dietitian, Registered | 2561 Dauphin St, Mobile, AL 36606-4850 | 2015-06-10 |
| 1558764696 | Laura Oliver | Dietitian, Registered | 7228 Oakbriar Dr S, Mobile, AL 36619-1226 | 2014-10-03 |
| 1831504265 | Andrea Dossett | Dietitian, Registered | 4803 Auburn Dr S, Mobile, AL 36618-2147 | 2014-06-24 |
| 1992136436 | Lorie Lynn Beasley | Dietitian, Registered | 55 Midtown Park E, Mobile, AL 36606-4141 | 2013-12-10 |
| 1124371331 | Lila S Sanders | Dietitian, Registered | 2029b Airport Blvd Ste 195, Mobile, AL 36606-1366 | 2012-10-25 |
| 1699080481 | Lindsey Westbrook Lee | Dietitian, Registered | 2029 Airport Blvd Ste 195, Mobile, AL 36606-1754 | 2010-08-17 |
| Find all providers in MOBILE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.