TKS Nutrition, LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

208206179 Issued in DE

Legal business name

TKS NUTRITION, LLC

Practice address

244 Manchester Way
Middletown, DE 19709-2132

Phone

(302) 897-2088

Fax

(302) 376-9261

NPI assigned

Jul 9, 2009

Last updated

Jul 9, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Tracey K Sinibaldi, RDNPI 1891993283

Title

Owner/ Registered Dietitian

Phone

(302) 897-2088

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DE

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Tracey K Sinibaldi, RD, LDN, CDE

  • Registered Dietitian
  • Middletown, DE
  • NPI 1891993283
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1247097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247097600000",
    "number": "1811126980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "244 MANCHESTER WAY",
            "city": "MIDDLETOWN",
            "state": "DE",
            "postal_code": "197092132",
            "telephone_number": "302-897-2088",
            "fax_number": "302-376-9261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "244 MANCHESTER WAY",
            "city": "MIDDLETOWN",
            "state": "DE",
            "postal_code": "197092132",
            "telephone_number": "302-897-2088",
            "fax_number": "302-376-9261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TKS NUTRITION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-09",
        "last_updated": "2009-07-09",
        "status": "A",
        "authorized_official_last_name": "SINIBALDI",
        "authorized_official_first_name": "TRACEY",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER/ REGISTERED DIETITIAN",
        "authorized_official_telephone_number": "302-897-2088",
        "authorized_official_credential": "RD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "DE",
            "license": "208206179",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinic/Center in Middletown, DE
• Providers in Middletown, DE by specialty
• Clinic/Center in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.