{
"Npi": {
"NPI": "1821683194",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "STETTER",
"FirstName": "GABRIELLE",
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": "MS, RD, CSSD, CSCS",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "VAN HOET",
"OtherFirstName": "GABRIELLE",
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": "1",
"FirstLineMailingAddress": "26929 W SHADOW CIR",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "OLATHE",
"MailingAddressStateName": "KS",
"MailingAddressPostalCode": "66061-8445",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "913-534-4374",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "26929 W SHADOW CIR",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "OLATHE",
"PracticeLocationAddressStateName": "KS",
"PracticeLocationAddressPostalCode": "66061-8445",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "913-534-4374",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "03/08/2021",
"LastUpdateDate": "04/23/2026",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": "F",
"Gender": "Female",
"AuthorizedOfficialLastName": null,
"AuthorizedOfficialFirstName": null,
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": null,
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": null,
"Taxonomies": {
"Taxonomy": [
{
"TaxonomyCode": "133VN1501X",
"TaxonomyName": "Sports Dietetics Nutrition Registered Dietitian",
"LicenseNumber": "5320",
"LicenseNumberStateCode": "TN",
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "133VN1501X",
"TaxonomyName": "Sports Dietetics Nutrition Registered Dietitian",
"LicenseNumber": "300129",
"LicenseNumberStateCode": "KY",
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "133VN1501X",
"TaxonomyName": "Sports Dietetics Nutrition Registered Dietitian",
"LicenseNumber": "2624",
"LicenseNumberStateCode": "KS",
"PrimaryTaxonomySwitch": "Y"
}
]
},
"HealthcareProviderTaxonomyGroups": null
}
}