Vivian Ellen Tiegen, RDN.,L.D.N., C.D.E.

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

ND2151 Issued in FL

Practice address

4601 Military TRL
Suite 205
Jupiter, FL 33458-4834

Phone

(561) 624-9744

Fax

(561) 623-0845

NPI assigned

May 17, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395964800000",
    "number": "1225081904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4601 MILITARY TRL",
            "address_2": "SUITE 205",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334584834",
            "telephone_number": "561-624-9744",
            "fax_number": "561-623-0845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4601 MILITARY TRL",
            "address_2": "SUITE 205",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334584834",
            "telephone_number": "561-624-9744",
            "fax_number": "561-623-0845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIEGEN",
        "first_name": "VIVIAN",
        "middle_name": "ELLEN",
        "name_prefix": "Mrs.",
        "credential": "RDN.,L.D.N., C.D.E.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-17",
        "last_updated": "2014-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "FL",
            "license": "ND2151",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Richard Milton Tiegen, A.P., D.M.D.
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• Todays Promise, Inc
• Todd H Bradford DO PA
• Alec Michael Toft

• Registered Dietitian in Jupiter, FL
• Providers in Jupiter, FL by specialty
• Registered Dietitian in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2014; 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.