Active NPI
Tammy Ciaccio Kingery, RDN
- Registered Dietitian
- Brandon, MS
National Provider Identifier
1841133584
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 0771
- Practice address
- 405 Busick Well Rd
Brandon, MS 39042-3601 - Phone
- (601) 826-7187
- NPI assigned
- Apr 9, 2026
- Sex
- Female
- Sole proprietor
- Yes
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 | 0771 | MS | Primary |
Addresses
Primary practice location
405 Busick Well Rd
Brandon, MS 39042-3601
Mailing address
405 Busick Well Rd
Brandon, MS 39042-3601
Phone (601) 826-7187
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0771 | MS | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1775692800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1775692800000",
"number": "1841133584",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "405 BUSICK WELL RD",
"city": "BRANDON",
"state": "MS",
"postal_code": "390423601",
"telephone_number": "601-826-7187"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "405 BUSICK WELL RD",
"city": "BRANDON",
"state": "MS",
"postal_code": "390423601",
"telephone_number": "601-826-7187"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KINGERY",
"first_name": "TAMMY",
"middle_name": "CIACCIO",
"credential": "RDN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-04-09",
"last_updated": "2026-04-09",
"certification_date": "2026-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dietitian, Registered",
"state": "MS",
"license": "0771",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brandon, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.