Tara Marie Coghlin Dickson

Primary specialty

Sports Dietetics Nutrition Registered DietitianTaxonomy code 133VN1501X

Practice address

289 Ricardo Rd
Mill Valley, CA 94941-2573

Phone

(415) 548-0340

NPI assigned

Dec 11, 2025

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1765411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765411200000",
    "number": "1336003581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "289 RICARDO RD",
            "city": "MILL VALLEY",
            "state": "CA",
            "postal_code": "949412573",
            "telephone_number": "415-548-0340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "289 RICARDO RD",
            "city": "MILL VALLEY",
            "state": "CA",
            "postal_code": "949412573",
            "telephone_number": "415-548-0340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COGHLIN DICKSON",
        "first_name": "TARA",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-12-11",
        "last_updated": "2025-12-11",
        "certification_date": "2025-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133VN1301X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Oncology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "133VN1501X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered, Nutrition, Sports Dietetics",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Elizabeth Christy-Cirillo, MFT
• Karen Ann Ciesnicki, PH.D.
• Clarity Relationship Therapy
• Sarah Clark, PHD
• Sarah Clark, RD
• Douglas E Cohen, M.D.
• David Cole, M.D.
• Debra Collins, MFT
• Laura Jeanne Collins, MD
• Melissa M Congdon, M.D.

• Sports Dietetics Nutrition Registered Dietitian in Mill Valley, CA
• Providers in Mill Valley, CA by specialty
• Sports Dietetics Nutrition Registered Dietitian in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2025; 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.