Individual ProviderKristen McgillDietitian, RegisteredDietary & Nutritional Service ProvidersPractice Address106 Irving St NW, Pob 301 South, Washington, DC 20010-2927(202) 877-7788PECOS EnrollmentBased on the most recent information from CMS, provider Kristen Mcgill does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1346692571Provider TypeIndividualFull NameMcgill, KristenGenderFemaleSole ProprietorNoEnumeration Date7/12/2016Last Updated7/12/2016Contact InformationPractice LocationPractice Address106 Irving St NW, Pob 301 South, Washington, DC 20010-2927Phone(202) 877-7788Fax(877) 680-8198Mailing LocationMailing Address106 Irving St NW, Pob 301 South, Washington, DC 20010-2927Phone(202) 877-7788Fax(877) 680-8198Provider TaxonomiesCodeDescriptionLicenseCode133V00000XPrimaryDescriptionDietitian, RegisteredDietary & Nutritional Service ProvidersLicenseDI100000835District of ColumbiaProvider IdentifiersIDDescriptionIssuerID521749666DescriptionOtherIssuerMEDSTAR WASHINGTON HOSPITAL CENTERDistrict of Columbia