Active NPI
Tiffany Rickman, MPH, RDN, LDN
- Registered Dietitian
- Taylorville, IL
National Provider Identifier
1326739673
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 164.008555
- Practice address
- 3922 E Lake Shore Dr
Taylorville, IL 62568-8948 - Phone
- (217) 565-3833
- NPI assigned
- May 17, 2023
- 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 |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 164.008555 | IL | Primary |
Addresses
Primary practice location
3922 E Lake Shore Dr
Taylorville, IL 62568-8948
Mailing address
3922 E Lake Shore Dr
Taylorville, IL 62568-8948
Phone (217) 565-3833
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 |
|---|---|---|---|
| 164.008555 | IL | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1684281600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684281600000",
"number": "1326739673",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3922 E LAKE SHORE DR",
"city": "TAYLORVILLE",
"state": "IL",
"postal_code": "625688948",
"telephone_number": "217-565-3833"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3922 E LAKE SHORE DR",
"city": "TAYLORVILLE",
"state": "IL",
"postal_code": "625688948",
"telephone_number": "217-565-3833"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RICKMAN",
"first_name": "TIFFANY",
"credential": "MPH, RDN, LDN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-05-17",
"last_updated": "2023-05-17",
"certification_date": "2023-05-17",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "IL",
"license": "164.008555",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Taylorville, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 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.