MRS. JAN L TILLEY


Address: 400 N Loop 1604 E, Suite 175, San Antonio, TX 78232-1258
Phone: 2105454422

MRS. JAN L TILLEY (NPI# 1649446360) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1649446360
Entity Type Individual
Full Name MRS. JAN L TILLEY
Credential RD, LD
Practice Address 400 N Loop 1604 E
Suite 175
San Antonio
TX 78232-1258
Mailing Address 30063 Cloud View Dr
Bulverde
TX 78163-4031
Practice Telephone 2105454422
Practice Fax Number 2105454495
Mailing Telephone 2105454422
Mailing Fax Number 2105454495
Enumeration Date 2008-05-02
Last Update Date 2008-05-02
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 133V00000X Dietitian, Registered DT04462 TX Dietary & Nutritional Service Providers

Office Location

Street Address 400 N LOOP 1604 E
SUITE 175
City SAN ANTONIO
State TX
Zip Code 78232-1258

Providers in the same location

NPI Name Taxonomy Address Enumeration
1811999865 Craig R Carlson Dentist 400 N Loop 1604 E, Ste 315, San Antonio, TX 78232-1200 2005-06-02
1386150183 Cristine Diane Saks Dietitian, Registered 400 N Loop 1604 E, San Antonio, TX 78232-1258 2017-12-17
1578921383 Vanessa Marie Bernal Marriage & Family Therapist 400 N Loop 1604 E, Suite 175, San Antonio, TX 78232-1258 2016-02-08
1881051811 Daniel Guerra Dietitian, Registered 400 N Loop 1604 E, San Antonio, TX 78232-1258 2016-01-21
1114323466 Nell Medical Group, P.a. Clinic/Center 400 N Loop 1604 E, Suite 125, San Antonio, TX 78232-1258 2014-11-14
1720492465 Pmc Healthcare and Diagnostics of San Antonio, PC Internal Medicine 400 N Loop 1604 E, Suite 330, San Antonio, TX 78232-1258 2014-06-19
1427475128 Samantha Lopez Dietitian, Registered 400 N Loop 1604 E, Suite 175, San Antonio, TX 78232-1258 2014-03-20
1306104732 Life Designs Counselor 400 N Loop 1604 E, Suite 175, San Antonio, TX 78232-1258 2012-04-23
1811287246 John Daniel Shafer Jr. Audiologist-Hearing Aid Fitter 400 N Loop 1604 E, Suite 210, San Antonio, TX 78232-1258 2011-04-19
1730323924 William Murdock Mccrae Hearing Instrument Specialist 400 N Loop 1604 E, Suite 210, San Antonio, TX 78232-1258 2009-05-01
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1295371334 Rachelle Renee Morales Counselor 620 W Afton Oaks Blvd, San Antonio, TX 78232 2019-11-25
1508328360 Ruene Anne Villalobos Licensed Vocational Nurse North Loop 1604 E #350, San Antonio, TX 78232 2019-04-02
1063908671 Steven C. Albright Dds, Pa Oral & Maxillofacial Surgery 15600 San Pedro Ave Ste 107, San Antonio, TX 78232 2018-07-06
1437666583 Jennifer Harris Physician Assistant 1380 Pantheon Way Ste 310, San Antonio, TX 78232 2018-01-10
1003334616 Third Space Counseling and Consultation, Pllc Counselor 1380 Pantheon Way Suite 245, San Antonio, TX 78232 2017-09-03
1336678135 Gregory Arellanes Specialist/Technologist, Other 1141 N Loop 1604 E #105-612, San Antonio, TX 78232 2017-06-06
1528437811 Jonathan Hodge Specialist/Technologist, Other 1141 E Loop 1604, Suite 105, San Antonio, TX 78232 2015-09-17
1356726376 Shawn Grubbs Spec/Tech, Cardiovascular 16620 Us Hwy 281n, Suite 300, San Antonio, TX 78232 2015-07-21
1336522051 Comprehensive Neuromonitoring Pllc Psychiatry & Neurology 1411 N Loop 1064 E 105-612, San Antonio, TX 78232 2015-06-30
1841690526 Janet Porter Registered Nurse 15909 San Pedro Ave Ste 204, San Antonio, TX 78232 2014-08-29
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Taxonomy Information

Taxonomy Code 133V00000X
Grouping Dietary & Nutritional Service Providers
Classification Dietitian, Registered

Taxonomy Definition

A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration.
Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1831706332 Savor Nutrition LLC Dietitian, Registered 319 Sharon Dr, San Antonio, TX 78216-7440 2020-09-28
1407462757 Shefali Amish Dharia Dietitian, Registered 22015 Somerton Ln, San Antonio, TX 78260-3529 2020-09-22
1063025278 Catherine Rose Valadez Dietitian, Registered 15838 Spyglass Trl, San Antonio, TX 78247-5673 2020-08-27
1083226195 Brooke Ashlyn Respondek Dietitian, Registered 2035 Oakland Bnd, San Antonio, TX 78258-7254 2020-08-19
1083224547 Shelby Rose Birdwell Dietitian, Registered 5807 Wexford Pl, San Antonio, TX 78240-3984 2020-08-08
1942825336 Tyshanae Lacoe Spence Dietitian, Registered 615a W Gerald Ave, San Antonio, TX 78221-1112 2020-06-11
1225653702 Chelsea Edwards Dietitian, Registered 5602 Presidio Pkwy Apt 2340, San Antonio, TX 78249-3174 2020-06-10
1366065245 Angela Susan Garcia Dietitian, Registered 615 Point Spgs, San Antonio, TX 78253-5645 2020-05-26
1912539446 Paola Borelo Dietitian, Registered 5650 Worth Pkwy Apt 4306, San Antonio, TX 78257-1525 2020-02-12
1609416916 Cynthia Cano Garza Dietitian, Registered 22811 Sabine Smt, San Antonio, TX 78258-2402 2020-01-14
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Competitor

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City SAN ANTONIO
Zip Code 78232

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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