TIA M KOCKA CDE
NPI 1710217179
Nutritionist - Nutrition, Education in Park Rapids, MN

Active since January 07, 2010
705 PLEASANT AVE S, PARK RAPIDS, MN 56470(218) 732-2800(218) 732-2857 Get Directions Write a Review

NPPES record last updated: August 8, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Tia M Kocka Cde NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TIA M KOCKA CDE (NPI 1710217179) is an individual nutrition, education provider in Park Rapids, Minnesota, licensed in Minnesota (R33968) and active in the NPI registry since January 2010.

NPPES Registry Identity

NPI1710217179
Entity TypeIndividualFemale
Primary Taxonomy133NN1002X
Provider Legal NameTIA M KOCKACredential: CDE
Location Address705 PLEASANT AVE SPark Rapids, MN 56470-1440
Mailing AddressPo Box 6001Fargo, ND 58108-6001 · (701) 364-3300 · Fax (701) 364-8906
Fax(218) 732-2857
Sole ProprietorNo
Enumeration DateJanuary 7, 2010
Last NPPES UpdateAugust 8, 2012
NPI 1710217179 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNutritionist · Nutrition, EducationDietary & Nutritional Service Providers
Taxonomy Code133NN1002X
License Licensed in MN · R33968
705 PLEASANT AVE S, Park Rapids, MN 56470

Other Names 1

Former Name (1)Tia M Gottwalt

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapist
705 PLEASANT AVE S
PARK RAPIDS, MN 56470
Nurse Practitioner (Family)
705 PLEASANT AVE S
PARK RAPIDS, MN 56470
Nutritionist (Nutrition, Education)
705 PLEASANT AVE S
PARK RAPIDS, MN 56470
Physician Assistant
705 PLEASANT AVE S
PARK RAPIDS, MN 56470
Family Medicine
705 PLEASANT AVE S
PARK RAPIDS, MN 56470
Occupational Therapist
705 PLEASANT AVE S
PARK RAPIDS, MN 56470
Internal Medicine
705 PLEASANT AVE S
PARK RAPIDS, MN 56470
Nurse Practitioner (Family)
705 PLEASANT AVE S
PARK RAPIDS, MN 56470

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tia Kocka's NPI number?

The NPI number for Tia Kocka is 1710217179. It was assigned to this individual provider in the NPPES registry on January 7, 2010. The provider is also known as Tia M Gottwalt.

Where is Tia Kocka located?

Tia Kocka practices at 705 Pleasant Ave S, Park Rapids, MN 56470. The listed phone number is (218) 732-2800.

What is Tia Kocka's specialty?

The primary specialty registered for this NPI is Nutritionist, specializing in Nutrition, Education, with taxonomy code 133NN1002X.

When was this NPI record last updated?

The NPPES record for Tia Kocka was last updated on August 8, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.