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Kelsey Abigail Gemmill , RD

Dietitian, Registered β€’ Jacksonville, FL

Active NPI 1205502002 Individual Practitioner Female Practitioner
Practice location in NPPES

1536 N Jefferson St
Jacksonville, FL 322096525

Call 9044755800 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1536 N Jefferson St

Jacksonville, FL 322096525

Telephone 9044755800
Organization at the Same NPPES Address or Phone
Gainesville Vamc Facility NPI 1992753008

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Jacksonville, FL. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

NPI first issued

2021

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Jacksonville and Florida

259 active clinicians are listed under Dietitian, Registered with a practice address in Jacksonville, FL (3,443 in Florida).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Jacksonville

6.6% of these 259 clinicians have the CMS telehealth indicator.

9.3% of these 259 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2023-10-16
Dietitian, Registered Primary Specialty

NUCC Taxonomy Code: 133V00000X

License # reported to NPPES FL ND9501

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Florida Department of Health Medical Quality Assurance.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Other Identifier Blue Cross Blue Shield
VSYBD (FL)

Secondary Practice Locations

4500 San Pablo Rd S

Jacksonville, FL 322241865

Phone: 1904953200

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

14 listed
NPI 1003202458

Doctor of Osteopathic Medicine (D.O.)

Patricia Barrozo , ARNP, FNP-BC

Nurse Practitioner - Family

NPI 1801174263

Advanced Registered Nurse Practitioner, Family Nurse Practitioner (Board Certified)

NPI 1306365143

Doctor of Osteopathic Medicine (D.O.)

Paige Franklin , FNP-BC

Nurse Practitioner - Family

NPI 1649922246

Family Nurse Practitioner (Board Certified)

Dr. Lauren Goworowski , PsyD

Psychologist - Clinical

NPI 1144885617

Doctor of Psychology (Psy.D.)

NPI 1538409156

Doctor of Philosophy (Ph.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

11 Historical Events
πŸ“
Updated Practice Location January 23, 2024

Registered at 1536 N JEFFERSON ST, JACKSONVILLE, FL 322096525 (Tel: 9044755800)

πŸ“
Updated Business Mailing Address January 23, 2024

Registered at 10640 SATORI LN APT 380, JACKSONVILLE, FL 322568095

πŸ“
Updated Practice Location July 13, 2022

Registered at 4500 SAN PABLO RD S, JACKSONVILLE, FL 322241865 (Tel: 1904953200)

πŸ“
Updated Business Mailing Address July 13, 2022

Registered at 4500 SAN PABLO RD S, JACKSONVILLE, FL 322241865 (Tel: 9049532000)

πŸ“
Updated Business Mailing Address March 21, 2022

Registered at PO BOX 917770, ORLANDO, FL 328910001 (Tel: 8138218038)

βœ…
NPI Profile Active August 20, 2021

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) August 20, 2021

Registered at 1 TAMPA GENERAL CIR, TAMPA, FL 336063571 (Tel: 8138443326)

πŸ“
Business Mailing Address (Initial Record) August 20, 2021

Registered at 1 TAMPA GENERAL CIR, TAMPA, FL 336063571 (Tel: 8138443326)

πŸ‘€
Provider Name / Credentials (Initial Record) August 20, 2021

Recorded as KELSEY GEMMILL, RD

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 20, 2021

Dietitian, Registered (license number reported to NPPES: FL ND9501)

🟒
Initial NPI Registration & Enumeration August 20, 2021

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1205502002
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 20, 2021
Last Update: January 23, 2024
Sole Proprietor: No

Other Dietitian, Registereds in Jacksonville

All Dietitian, Registereds in Jacksonville

Mailing Address

10640 Satori Ln Apt 380

Jacksonville, FL 322568095

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.