Individual provider Active NPI

Amy M Braglia-Tarpey, M.S., R.D., CSR

  • Registered Dietitian
  • Newport Beach, CA
National Provider Identifier
1184827669
Registry record updated Jul 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
898072 Issued in CA
Practice address
280 Cagney LN
#301
Newport Beach, CA 92663-2674
Phone
(949) 278-4558
Fax
(949) 278-4558
NPI assigned
Jun 11, 2007
Last updated
Jul 3, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 3, 2012

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Renal Nutrition Registered Dietitian 133VN1005X 898072 CA
Registered Dietitian 133V00000X 898072 CA Primary
Nutritionist 133N00000X 898072 CA
Nutrition Education Nutritionist 133NN1002X 898072 CA

Addresses

Primary practice location

280 Cagney LN
#301
Newport Beach, CA 92663-2674

Mailing address

280 Cagney LN
#301
Newport Beach, CA 92663-2674
Phone (949) 278-4558

Other identifiers 1

IdentifierTypeStateIssuer
898072OtherCACOMMISSION ON DIETETIC REGISTRATION

Other names 1

  • Amy Braglia Former name

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
898072CAMDRenal Nutrition Registered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1181520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1341273600000",
    "number": "1184827669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280 CAGNEY LN",
            "address_2": "#301",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926632674",
            "telephone_number": "949-278-4558",
            "fax_number": "949-271-5062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 CAGNEY LN",
            "address_2": "#301",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926632674",
            "telephone_number": "949-278-4558",
            "fax_number": "949-278-4558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAGLIA-TARPEY",
        "first_name": "AMY",
        "middle_name": "M",
        "credential": "M.S., R.D., CSR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-11",
        "last_updated": "2012-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133VN1005X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Renal",
            "state": "CA",
            "license": "898072",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "CA",
            "license": "898072",
            "primary": true
        },
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "CA",
            "license": "898072",
            "primary": false
        },
        {
            "code": "133NN1002X",
            "taxonomy_group": "",
            "desc": "Nutritionist, Nutrition, Education",
            "state": "CA",
            "license": "898072",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMISSION ON DIETETIC REGISTRATION",
            "identifier": "898072",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "BRAGLIA",
            "credential": "MS, RD, CSR",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Newport Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2012; 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.