IndividualActive
Breanna Tucker, RDN
NPI 1598454886 · Pediatric Nutrition Registered Dietitian · South Bend, IN
Provider details
- NPI number
- 1598454886
- Entity type
- Individual
- Primary specialty
- Pediatric Nutrition Registered DietitianDietary & Nutritional Service Providers
- Credential
- RDN
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Dietary & Nutritional Service Providers
Profile Score
Established profile(52/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
83% 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
211 N Eddy St
South Bend, IN 46617-2808
Phone: (574) 204-6664
Street-level locationGet directions
Mailing address
408 W Western Ave Apt 1101
South Bend, IN 46601-2240
Registry dates
- Enumerated
- 2023-05-03
- Last updated
- 2023-05-03
- Certified
- 2023-05-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.