Mary J Picchioni, PH.D.

Primary specialty

NutritionistTaxonomy code 133N00000X

License

DN005040 Issued in PA

Practice address

1200 N El Dorado PL
Suite I-905
Tucson, AZ 85715-4637

Phone

(520) 954-2551

Fax

(520) 344-8871

NPI assigned

Mar 27, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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

{
    "created_epoch": "1364342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464220800000",
    "number": "1518200641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 N EL DORADO PL",
            "address_2": "SUITE I-905",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857154637",
            "telephone_number": "520-954-2551",
            "fax_number": "520-344-8871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 N EL DORADO PL",
            "address_2": "SUITE I-905",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857154637",
            "telephone_number": "520-954-2551",
            "fax_number": "520-344-8871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PICCHIONI",
        "first_name": "MARY",
        "middle_name": "J",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-03-27",
        "last_updated": "2016-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "PA",
            "license": "DN005040",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DN005040",
            "identifier": "DN005040",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Physio Shop Tucson LLC
• Jessica Ann Phyu
• Hailey N Piancino, BS, RBT
• Danielle Elizabeth Piar, ANP C
• Sarah Anne Picard, DMD
• Debra L Piccolo, LCSW
• Brent Gerald Pichler, M.ED.
• Mary R Pick Morse, RN
• Charles E. Pick, DDS
• Barbara Lynn Pickard, SLP

• Nutritionist in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Nutritionist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2016; 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.