Prudence Ticknor, RD
NPI 1174920821 · Registered Dietitian · Modesto, CA
Enrolled with Medicare as Practitioner - Registered Dietitian Or Nutrition Professional · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Prudence Ticknor, RD is a Registered Dietitian provider in Modesto, CA (NPI 1174920821).
Provider details
- NPI number
- 1174920821
- Entity type
- Individual
- Primary specialty
- Registered DietitianDietary & Nutritional Service Providers
- Credential
- RD
- Sex
- Female
- Sole proprietor
- Yes
- License
- 819773 (NC)
Specialties & taxonomies
Dietary & Nutritional Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2014-11-24
- Last updated
- 2017-03-21
Frequently asked questions
- What is Prudence Ticknor's NPI number?
- Prudence Ticknor's National Provider Identifier (NPI) is 1174920821, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Prudence Ticknor's specialty?
- Prudence Ticknor is listed in the NPPES registry with a primary specialty of Registered Dietitian (Dietary & Nutritional Service Providers).
- Where is Prudence Ticknor located?
- Prudence Ticknor's practice location on file with NPPES is 1552 Coffee Rd, Modesto, CA 95355-3122.
- What is Prudence Ticknor's phone number?
- The practice phone number listed in the NPPES registry for Prudence Ticknor is (209) 248-7168.
- Does Prudence Ticknor accept Medicare?
- Prudence Ticknor is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Prudence Ticknor's NPI active?
- Yes — Prudence Ticknor's NPI (1174920821) is active in the NPPES registry as of the last update on 2017-03-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.