Active NPI
Tenny Kussat, RD
- Registered Dietitian
- Santee, CA
National Provider Identifier
1003423682
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 809647
- Practice address
- 655 Park Center Dr
Santee, CA 92071-3094 - Phone
- (619) 596-5575
- NPI assigned
- Sep 28, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 809647 | Primary |
Addresses
Primary practice location
655 Park Center Dr
Santee, CA 92071-3094
Mailing address
655 Park Center Dr
Santee, CA 92071-3094
Phone (619) 596-5575
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Tenny.Kussat@sdcounty.ca.gov | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Interoperability endpoints
- tenny.kussat@sdcounty.ca.gov
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1601251200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1601251200000",
"number": "1003423682",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "655 PARK CENTER DR",
"city": "SANTEE",
"state": "CA",
"postal_code": "920713094",
"telephone_number": "619-596-5575"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "655 PARK CENTER DR",
"city": "SANTEE",
"state": "CA",
"postal_code": "920713094",
"telephone_number": "619-596-5575"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KUSSAT",
"first_name": "TENNY",
"credential": "RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-09-28",
"last_updated": "2020-09-28",
"certification_date": "2020-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": null,
"license": "809647",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Tenny.Kussat@sdcounty.ca.gov",
"affiliation": "N",
"endpointDescription": "Work Email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Work Email",
"address_1": "655 Park Center Dr",
"city": "Santee",
"state": "CA",
"country_code": "US",
"postal_code": "920713094",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Santee, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.