Individual provider Active NPI

Judith Ann Tomko, RD,LDN

  • Registered Dietitian
  • Nazareth, PA
National Provider Identifier
1205604345
Registry record updated Dec 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
DN002020 Issued in PA
Practice address
4518 Foxtail Dr
Nazareth, PA 18064-9665
Phone
(610) 417-1313
Fax
(610) 759-6632
NPI assigned
Dec 18, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 18, 2023

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 DN002020 PA Primary

Addresses

Primary practice location

4518 Foxtail Dr
Nazareth, PA 18064-9665

Mailing address

4518 Foxtail Dr
Nazareth, PA 18064-9665
Phone (610) 417-1313

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)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1702857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702857600000",
    "number": "1205604345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4518 FOXTAIL DR",
            "city": "NAZARETH",
            "state": "PA",
            "postal_code": "180649665",
            "telephone_number": "610-417-1313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4518 FOXTAIL DR",
            "city": "NAZARETH",
            "state": "PA",
            "postal_code": "180649665",
            "telephone_number": "610-417-1313",
            "fax_number": "610-759-6632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOMKO",
        "first_name": "JUDITH",
        "middle_name": "ANN",
        "credential": "RD,LDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-12-18",
        "last_updated": "2023-12-18",
        "certification_date": "2023-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "PA",
            "license": "DN002020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nazareth, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2023; 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.