Sophia Tiberi, MS, RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Practice address

55 Lake Ave N
Worcester, MA 01655-0002

Phone

(781) 343-3198

NPI assigned

Feb 20, 2023

Sex

Female

Sole proprietor

No

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

Credentials

Master of Science

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

{
    "created_epoch": "1676851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676851200000",
    "number": "1295433290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "429 W 4TH ST",
            "city": "SOUTH BOSTON",
            "state": "MA",
            "postal_code": "021272653",
            "telephone_number": "781-343-3198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 LAKE AVE N",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016550002",
            "telephone_number": "781-343-3198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIBERI",
        "first_name": "SOPHIA",
        "credential": "MS, RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-20",
        "last_updated": "2023-02-20",
        "certification_date": "2023-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Haley Thurber
• Laura Thurber
• Keeva Leigh Thurmond, PA
• Neil R Tibbetts, D.C.
• Richard C Tibbetts, M.D.
• Clariza Tiburcio, DDS
• Samantha Ann Tichelaar
• Marianne Heslington Tichovolsky, PH.D.
• Ishita Tickoo, MD
• Sharon Tiernan, RN

• Registered Dietitian in Worcester, MA
• Providers in Worcester, MA by specialty
• Registered Dietitian in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 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.