Valora Jean Tom, RD, LD, CDE

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

0816 Issued in NM

Practice address

Corner of RT N12 & N7
Fort Defiance, AZ 86504

Phone

(928) 729-8828

Fax

(928) 729-8045

NPI assigned

Sep 12, 2008

Last updated

Oct 8, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1221177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412726400000",
    "number": "1790934818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 589",
            "city": "FORT DEFIANCE",
            "state": "AZ",
            "postal_code": "865040589",
            "telephone_number": "928-729-8828",
            "fax_number": "928-729-8045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CORNER OF RT N12 & N7",
            "city": "FORT DEFIANCE",
            "state": "AZ",
            "postal_code": "86504",
            "telephone_number": "928-729-8828",
            "fax_number": "928-729-8045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOM",
        "first_name": "VALORA",
        "middle_name": "JEAN",
        "name_prefix": "Ms.",
        "credential": "RD, LD, CDE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-12",
        "last_updated": "2014-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "IL",
            "license": "978588",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NM",
            "license": "0816",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sally Lynn Thompson, PA-C
• Amber Marie Thurman, CRT
• Lydia Nakitto Thurmond
• Bill Shayne Tidwell, DDS
• Martha N. Toadlena, LISAC
• Dieumy Tonnu, PHARMD
• Brian Mitchell Mitchell Torres Ortiz, RN
• Jesse Trujillo
• Eukerison Bobby Tsinajinie, MA
• Jill Tso, RN

• Registered Dietitian in Fort Defiance, AZ
• Providers in Fort Defiance, AZ by specialty
• Registered Dietitian in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2014; 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.