Candiace Amora Piccolo, RD, LD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

CDR-1106542 Issued in CA

Practice address

488 Salty Way
Eugene, OR 97404-2488

Phone

(714) 318-9905

NPI assigned

Nov 26, 2013

Sex

Female

Sole proprietor

Yes

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 27, 2019.

{
    "created_epoch": "1385424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574812800000",
    "number": "1316377484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "488 SALTY WAY",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974042488",
            "telephone_number": "714-318-9905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "488 SALTY WAY",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974042488",
            "telephone_number": "714-318-9905"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16821 Hoskins Ln",
            "address_2": "Apartment B",
            "address_purpose": "LOCATION",
            "city": "Huntington Beach",
            "state": "CA",
            "postal_code": "926493920",
            "country_code": "US",
            "telephone_number": "714-318-9905",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "16821 Hoskins Ln",
            "address_2": "Apartment B",
            "address_purpose": "LOCATION",
            "city": "Huntington Beach",
            "state": "CA",
            "postal_code": "926493920",
            "country_code": "US",
            "telephone_number": "714-318-9905",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4154 Alana Cir",
            "address_purpose": "LOCATION",
            "city": "Oceanside",
            "state": "CA",
            "postal_code": "920563440",
            "country_code": "US",
            "telephone_number": "714-318-9905",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AMORA PICCOLO",
        "first_name": "CANDIACE",
        "name_prefix": "Mrs.",
        "credential": "RD, LD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-11-26",
        "last_updated": "2019-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "OR",
            "license": "LD-D-10196307",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "CA",
            "license": "CDR-1106542",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1316377484",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• All providers in Eugene, OR
• Registered Dietitian in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2019; 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.