Individual provider Active NPI

Tygue Clausen, MPH, RDN, CPH

  • Registered Dietitian
  • Palm Harbor, FL
National Provider Identifier
1124690177
Registry record updated Jul 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Practice address
35209 US 19 N
Palm Harbor, FL 34684-1908
Phone
(727) 389-6661
NPI assigned
Jul 10, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 10, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X Primary

Addresses

Primary practice location

35209 US 19 N
Palm Harbor, FL 34684-1908

Mailing address

10229 Villa Palazzo CT
Tampa, FL 33615-3098

Other identifiers 1

IdentifierTypeStateIssuer
86152557OtherFLVETERANS AFFAIR

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL CPRS Health Information Exchange (HIE)

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

NPI Registry JSON

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

{
    "created_epoch": "1625875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625875200000",
    "number": "1124690177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10229 VILLA PALAZZO CT",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336153098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35209 US 19 N",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346841908",
            "telephone_number": "727-389-6661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLAUSEN",
        "first_name": "TYGUE",
        "credential": "MPH, RDN, CPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-07-10",
        "last_updated": "2021-07-10",
        "certification_date": "2021-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VETERANS AFFAIR",
            "identifier": "86152557",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "CPRS",
            "affiliation": "N",
            "endpointDescription": "Electronic health record in the VA",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Government",
            "address_1": "35209 US 19 N",
            "city": "Palm Harbor",
            "state": "FL",
            "country_code": "US",
            "postal_code": "346841908",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Palm Harbor, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2021; 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.