Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Tashanna Gillenwater, EDD

Individual provider Nutritionist · NPI 1831885292

Dr. Tashanna Gillenwater, EDD is a Nutritionist in Matteson, Illinois. Licensed in Illinois. Registered with an NPI since 2023.

Licensed in
IL
In the registry since
2023
Specialties on file
4
What do these letters mean?
EDD — Doctor of Education
A doctorate in education.

See every abbreviation used in this directory →

Practice location Address checks out

3818 216th Pl
Matteson, IL 60443-2725
Phone: (773) 269-0301
Fax: (708) 964-2178
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Health Educator (primary) Taxonomy 174H00000X · Licence 340416 (IL)
Nutritionist Taxonomy 133N00000X · Licence 3020440 (IL)
Health & Wellness Coach Taxonomy 171400000X · Licence 340416 (IL)
Health & Wellness Coach Taxonomy 171400000X (IL)

Record details

NPI number1831885292
Entity typeIndividual (Type 1)
GenderFemale
Credentials EDD
Sole proprietorNo
NPI enumeratedApril 17, 2023
Last updated in NPPESMay 5, 2023
Certification dateMay 5, 2023

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