Jie Ying Tan, MS, RDN, LD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

DX4633 Issued in MD

Practice address

12001 Ferrara Ave
Silver Spring, MD 20906-4706

Phone

(301) 946-6623

Fax

(301) 946-1107

NPI assigned

Nov 1, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1572566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572566400000",
    "number": "1932743002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12001 FERRARA AVE",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209064706",
            "telephone_number": "301-946-6623",
            "fax_number": "301-946-1107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12001 FERRARA AVE",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209064706",
            "telephone_number": "301-946-6623",
            "fax_number": "301-946-1107"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "19703 Executive Park Cir",
            "address_purpose": "LOCATION",
            "city": "Germantown",
            "state": "MD",
            "postal_code": "208742639",
            "country_code": "US",
            "telephone_number": "301-540-9447",
            "fax_number": "301-946-1107",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAN",
        "first_name": "JIE",
        "middle_name": "YING",
        "credential": "MS, RDN, LD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-01",
        "last_updated": "2019-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MD",
            "license": "DX4633",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nisha Tamaskar, M.D.
• Marian Tamba
• Bridget N Tambi
• Tamia Barnes Tomasek Counseling
• Danya Tan, PHARM D
• Steven K Tan, DMD
• Suejane IV Tan, DDS
• Asongafack Tanangmock, HHA
• Sunaina Tandon, LCPC
• Firdaus Tangao Ouro Djalla

• Registered Dietitian in Silver Spring, MD
• Providers in Silver Spring, MD by specialty
• Registered Dietitian in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2019; 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.