Active NPI
Tania Marie Cuadra, RDN
- Registered Dietitian
- Auburn, NY
National Provider Identifier
1902415177
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 86053342
- Practice address
- 1 Hoffman St
Auburn, NY 13021-2157 - Phone
- (315) 704-0319
- NPI assigned
- Jul 23, 2020
- Last updated
- Feb 18, 2021
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 86053342 | CA | MD | Registered Dietitian |
| 86053342 | NY | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Energy Works Center of Auburn Inc. | Past | 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
- Courtney Du Mond, PH.D. Licensed Clinical Psychologist (Lakeside Behavioral Health)
- Robert J Couture Jr., LPN
- Nikki Crofoot, LPN
- Ashley Crosby
- Laura M Crouch, LCSW
- Sierra Marie Cummings, LPN
- Michael A Cunningham, D.O.
- Vivian M Cunningham, N.P.
- Edward J Currier, BS, MS, LMHC
- Kathryn Christine Currier, PHARM D.
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.