Individual provider Active NPI

Tania Marie Cuadra, RDN

  • Registered Dietitian
  • Auburn, NY
National Provider Identifier
1902415177
Registry record updated Feb 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
86053342 Issued in NY
Practice address
1 Hoffman St
Auburn, NY 13021-2157
Phone
(315) 704-0319
NPI assigned
Jul 23, 2020
Last updated
Feb 18, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 86053342 CA
Registered Dietitian 133V00000X 86053342 NY Primary

Addresses

Primary practice location

1 Hoffman St
Auburn, NY 13021-2157

Mailing address

57 Finnerty Rd
Westdale, NY 13483-1300
Phone (650) 580-1126

Other practice location 1

151 Darby Pl Apt 3
San Bruno, CA 94066-3956
Phone (650) 580-1126

Other practice location 2

57 Finnerty Rd
Westdale, NY 13483-1300
Phone (650) 580-1126

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

LicenseStateTypeSpecialty
86053342CAMDRegistered Dietitian
86053342NYMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Energy Works Center of Auburn Inc. PastSince Jan 24, 2021 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1595462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613606400000",
    "number": "1902415177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "57 FINNERTY RD",
            "city": "WESTDALE",
            "state": "NY",
            "postal_code": "134831300",
            "telephone_number": "650-580-1126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 HOFFMAN ST",
            "city": "AUBURN",
            "state": "NY",
            "postal_code": "130212157",
            "telephone_number": "315-704-0319"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "151 Darby Pl Apt 3",
            "address_purpose": "LOCATION",
            "city": "San Bruno",
            "state": "CA",
            "postal_code": "940663956",
            "country_code": "US",
            "telephone_number": "650-580-1126",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "57 Finnerty Rd",
            "address_purpose": "LOCATION",
            "city": "Westdale",
            "state": "NY",
            "postal_code": "134831300",
            "country_code": "US",
            "telephone_number": "650-580-1126",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CUADRA",
        "first_name": "TANIA",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "RDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-23",
        "last_updated": "2021-02-18",
        "certification_date": "2021-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "CA",
            "license": "86053342",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NY",
            "license": "86053342",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2021; 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.