Active NPI
Tiana Wilson
- Registered Dietitian
- Bay Pines, FL
National Provider Identifier
1427933209
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 86342895
- Practice address
- 10000 Bay Pines Blvd Bay Pines
Bay Pines, FL 33744-8200 - Phone
- (727) 398-6661
- NPI assigned
- Aug 9, 2025
- 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 | 86342895 | Primary |
Addresses
Primary practice location
10000 Bay Pines Blvd Bay Pines
Bay Pines, FL 33744-8200
Mailing address
332 Ashley Road 85
Fountain Hill, AR 71642-9211
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nourish, Inc. | Dietitian, Registered | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1754697600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1754697600000",
"number": "1427933209",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "332 ASHLEY ROAD 85",
"city": "FOUNTAIN HILL",
"state": "AR",
"postal_code": "716429211"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10000 BAY PINES BLVD BAY PINES",
"city": "BAY PINES",
"state": "FL",
"postal_code": "337448200",
"telephone_number": "727-398-6661"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILSON",
"first_name": "TIANA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-08-09",
"last_updated": "2025-08-09",
"certification_date": "2025-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": null,
"license": "86342895",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bay Pines, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 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.