Healthcare Provider Details

I. General information

NPI: 1164473674
Provider Name (Legal Business Name): JANICE PATRICIA GILLESPIE RD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/12/2006
Last Update Date: 07/13/2026
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1005 CLERMONT ST
DENVER CO
80220-3808
US

IV. Provider business mailing address

3341 S NELSON CT
LAKEWOOD CO
80227-5660
US

V. Phone/Fax

Practice location:
  • Phone: 303-393-5227
  • Fax: 303-393-5003
Mailing address:
  • Phone: 303-393-5227
  • Fax: 303-393-5003

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: