1477746550 NPI number — EVELYN TRIBOLE MS, RD

Table of content: EVELYN TRIBOLE MS, RD (NPI 1477746550)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1477746550 NPI number — EVELYN TRIBOLE MS, RD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
TRIBOLE
Provider First Name:
EVELYN
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
MS, RD
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1477746550
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
08/12/2009
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1100 QUAIL ST
Provider Second Line Business Mailing Address:
SUITE 111
Provider Business Mailing Address City Name:
NEWPORT BEACH
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
92660-2701
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
949-654-9904
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1100 QUAIL ST
Provider Second Line Business Practice Location Address:
SUITE 111
Provider Business Practice Location Address City Name:
NEWPORT BEACH
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
92660-2701
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
949-654-9904
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
08/22/2007

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 133V00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 681168 . This is a "REGISTERED DIETITIAN - AM DIETETIC ASSOC" identifier , issued by the state of ( CA ) . This identifiers is of the category "OTHER".




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