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

Gillian Deroche

Individual provider Registered Dietitian · NPI 1518831676

Gillian Deroche is a Registered Dietitian OR Nutrition Professional in Dallas, Texas. Qualified in 2024, 2 years ago. Practices with Healthtexas Provider Network, a 2,539-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Texas.

Years since qualifying
2
Licensed in
TX
In the registry since
2025
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Practice location Address checks out

4024 Saint Christopher Ln
Dallas, TX 75287-6449
Phone: (330) 696-5676
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence DT91354 (TX)

Record details

NPI number1518831676
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 1, 2025
Last updated in NPPESOctober 1, 2025
Certification dateOctober 1, 2025
Mailing address4024 Saint Christopher Ln, Dallas, TX 75287-6449

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyREGISTERED DIETITIAN OR NUTRITION PROFESSIONAL
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Healthtexas Provider Network — 2539 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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