Active NPI
Tamara Nijmeh, RDN
- Metabolic Nutrition Registered Dietitian
- San Jose, CA
National Provider Identifier
1225490691
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Metabolic Nutrition Registered Dietitian
- License
- RD 86030718
- Practice address
- 1150 S Bascom Ave Ste 26
San Jose, CA 95128-3509 - Phone
- (408) 998-2325
- NPI assigned
- Mar 24, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Metabolic Nutrition Registered Dietitian | 133VN1006X | RD 86030718 | CA | Primary |
Addresses
Primary practice location
1150 S Bascom Ave Ste 26
San Jose, CA 95128-3509
Mailing address
1150 S Bascom Ave Ste 26
San Jose, CA 95128-3509
Phone (408) 998-2325
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RD 86030718 | CA | MD | Metabolic Nutrition Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bay Area Community Diabetes Educators LLC | Nutrition, Metabolic | Past | Accepting new patients |
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.
-
- Registered Dietitian
- San Jose, CA
- NPI 1902132806
Nutrition, Metabolic
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1458777600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1458777600000",
"number": "1225490691",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1150 S BASCOM AVE STE 26",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951283509",
"telephone_number": "408-998-2325"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1150 S BASCOM AVE STE 26",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951283509",
"telephone_number": "408-998-2325"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NIJMEH",
"first_name": "TAMARA",
"credential": "RDN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-03-24",
"last_updated": "2016-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "133VN1006X",
"taxonomy_group": "",
"desc": "Dietitian, Registered, Nutrition, Metabolic",
"state": "CA",
"license": "RD 86030718",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Jose, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.