Individual provider Active NPI

Kari Ann Tuggle-Nord, LCSW, RD

  • Clinical Social Worker
  • Costa Mesa, CA
National Provider Identifier
1114664133
Registry record updated May 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
108145 Issued in CA
Practice address
1330 Bristol St Apt 35
Costa Mesa, CA 92626-8633
Phone
(562) 458-7778
NPI assigned
May 20, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 20, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 108145 CA Primary

Addresses

Primary practice location

1330 Bristol St Apt 35
Costa Mesa, CA 92626-8633

Mailing address

1330 Bristol St Apt 35
Costa Mesa, CA 92626-8633
Phone (562) 458-7778

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

Practice roles

OrganizationSpecialtyStatusNew patients
Kari Ann Tuggle-Nord, Licensed Clinical Social Worker, Inc. Clinical Current Accepting new patients

Locations

5325 Alton Pkwy
Ste C
Irvine, CA 92604

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1653004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653004800000",
    "number": "1114664133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1330 BRISTOL ST APT 35",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926268633",
            "telephone_number": "562-458-7778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1330 BRISTOL ST APT 35",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926268633",
            "telephone_number": "562-458-7778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUGGLE-NORD",
        "first_name": "KARI",
        "middle_name": "ANN",
        "credential": "LCSW, RD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-20",
        "last_updated": "2022-05-20",
        "certification_date": "2022-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "108145",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Costa Mesa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.