IndividualActive
Kimberly Tichota, RD, CSP, CLC
NPI 1134563208 · Pediatric Nutrition Registered Dietitian · Englewood, CO
Provider details
- NPI number
- 1134563208
- Entity type
- Individual
- Primary specialty
- Pediatric Nutrition Registered DietitianDietary & Nutritional Service Providers
- Credential
- RD, CSP, CLC
- Sex
- Female
- Sole proprietor
- Yes
Mailing address
3080 S Pearl St
Englewood, CO 80113-1642
Registry dates
- Enumerated
- 2013-04-19
- Last updated
- 2013-04-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.