Active NPI
Florence Ann Tiscareno, RD
- Registered Dietitian
- Travis Afb, CA
National Provider Identifier
1548345564
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Practice address
- 101 Bodin Cir
60TH MDG/60MDTS/SGQD David Grant Medical Center
Travis Afb, CA 94535-1809 - Phone
- (707) 423-3668
- Fax
- (707) 423-3627
- NPI assigned
- Oct 26, 2006
- 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 | Primary |
Addresses
Primary practice location
101 Bodin Cir
60TH MDG/60MDTS/SGQD David Grant Medical Center
Travis Afb, CA 94535-1809
Mailing address
2220 Oak Hills Cir Apt 38
Pittsburg, CA 94565-4223
Phone (925) 261-1824
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161820800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1276041600000",
"number": "1548345564",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2220 OAK HILLS CIR APT 38",
"city": "PITTSBURG",
"state": "CA",
"postal_code": "945654223",
"telephone_number": "925-261-1824"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 BODIN CIR",
"address_2": "60TH MDG/60MDTS/SGQD DAVID GRANT MEDICAL CENTER",
"city": "TRAVIS AFB",
"state": "CA",
"postal_code": "945351809",
"telephone_number": "707-423-3668",
"fax_number": "707-423-3627"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TISCARENO",
"first_name": "FLORENCE",
"middle_name": "ANN",
"credential": "RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-26",
"last_updated": "2010-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Travis Afb, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.