Provider Demographics
NPI:1164473674
Name:GILLESPIE, JANICE PATRICIA (RD)
Entity Type:Individual
Prefix:MRS
First Name:JANICE
Middle Name:PATRICIA
Last Name:GILLESPIE
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3341 S NELSON CT
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80227-5660
Mailing Address - Country:US
Mailing Address - Phone:303-393-5227
Mailing Address - Fax:303-393-5003
Practice Address - Street 1:1005 CLERMONT ST
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80220-3808
Practice Address - Country:US
Practice Address - Phone:303-393-5227
Practice Address - Fax:303-393-5003
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered