JENNIFER LELA GILLISPIE (RD, LD, CNSC) – Registered Dietitian, NPI 1871286468

JENNIFER LELA GILLISPIE (RD, LD, CNSC) is a healthcare provider. based in Oklahoma city, Oklahoma. specializing in REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL. They hold the professional credentials RD, LD, CNSC. They hold a License No. 2442 (OK). The NPI Number for JENNIFER LELA GILLISPIE (RD, LD, CNSC) is 1871286468

Main info

Female
7 Years Of Experience
Name
JENNIFER LELA GILLISPIE (RD, LD, CNSC)
NPI
1871286468
Phone
(405) 271-8001
Address
2716 NW 67TH ST
Enumeration Date
30 May 2023
Last Update Date
30 May 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4057557561
Graduation Year
2019 (7 years ago)
PAC ID
8820442866
Group Practice PAC ID
4688773302
Professional Enrollment ID
I20230926001047
Address ID
OK731205068OK10914DRXX401
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:3State licenses:1Digital endpointsOther names

106 REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL in OK

Provider Addresses for JENNIFER LELA GILLISPIE (RD, LD, CNSC)

  • 2716 NW 67TH ST

    OKLAHOMA CITY, OK 731164614

    Phone: (405) 271-8001

    Type: Mailing

  • 700 NE 13TH ST

    OKLAHOMA CITY, OK 731045004

    Phone: (405) 271-8001

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-09-26

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230926001047IRegistered Dietitian Or Nutrition ProfessionalOKTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 73116)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4688773302View full group profile
NameSpecialtyState
-OK
Registered Dietitian Or Nutrition ProfessionalOK
Registered Dietitian Or Nutrition ProfessionalOK
Registered Dietitian Or Nutrition ProfessionalMD
Registered Dietitian Or Nutrition ProfessionalOK
Registered Dietitian Or Nutrition ProfessionalOK
Registered Dietitian Or Nutrition ProfessionalTX

Reviews

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Frequently asked questions

Can I verify JENNIFER LELA GILLISPIE (RD, LD, CNSC) with an NPI only?
You can start verification with NPI 1871286468 for JENNIFER LELA GILLISPIE (RD, LD, CNSC), then check state licensing separately.
Does CMS list JENNIFER LELA GILLISPIE (RD, LD, CNSC) as active?
Yes — JENNIFER LELA GILLISPIE (RD, LD, CNSC) is active in the NPI listing used on this page.
What taxonomy line describes JENNIFER LELA GILLISPIE (RD, LD, CNSC)?
For research purposes, treat JENNIFER LELA GILLISPIE (RD, LD, CNSC) as Registered Dietitian in this dataset. Clinical services aligned with this taxonomy classification.
Where is JENNIFER LELA GILLISPIE (RD, LD, CNSC) based?
JENNIFER LELA GILLISPIE (RD, LD, CNSC) is tied to Oklahoma City, Oklahoma in the data we show; additional addresses may exist on the full record.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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