Active NPI
Tiffany Kolln, RD
- Registered Dietitian
- Clinton, NJ
National Provider Identifier
1275061624
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 86064391
- Practice address
- 12 Lower Center St
Clinton, NJ 08809-1304 - Phone
- (908) 758-3909
- NPI assigned
- May 30, 2017
- Last updated
- Mar 17, 2018
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 86064391 | Primary |
Addresses
Primary practice location
12 Lower Center St
Clinton, NJ 08809-1304
Mailing address
6 Walnut Dr
Belvidere, NJ 07823-3010
Other practice location 1
405 Omni Dr
Hillsborough, NJ 08844-4527
Phone (908) 758-3909
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": "1496102400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1275061624",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6 WALNUT DR",
"city": "BELVIDERE",
"state": "NJ",
"postal_code": "078233010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12 LOWER CENTER ST",
"city": "CLINTON",
"state": "NJ",
"postal_code": "088091304",
"telephone_number": "908-758-3909"
}
],
"practiceLocations": [
{
"address_1": "405 Omni Dr",
"address_purpose": "LOCATION",
"city": "Hillsborough",
"state": "NJ",
"postal_code": "088444527",
"country_code": "US",
"telephone_number": "908-758-3909",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KOLLN",
"first_name": "TIFFANY",
"credential": "RD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-05-30",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": null,
"license": "86064391",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clinton, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.