TAMMY JEANNE DAVISON RD, CDE
NPI 1912182130
Dietitian, Registered in Kingman, AZ

Active since January 07, 2008Accepts Medicare Assignment
2535 HUALAPAI MTN RD, STE C, KINGMAN, AZ 86401(928) 415-0446(928) 692-1323 Get Directions Write a Review

NPPES record last updated: July 27, 2015. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Tammy Jeanne Davison Rd, Cde NPPES

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

TAMMY JEANNE DAVISON RD, CDE (NPI 1912182130) is an individual dietitian, registered in Kingman, Arizona, licensed in Arizona (875166) and active in the NPI registry since January 2008. She is a graduate of Other (2000).

NPPES Registry Identity

NPI1912182130
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameTAMMY JEANNE DAVISONCredential: RD, CDE
Location Address2535 HUALAPAI MTN RD, STE CKingman, AZ 86401
Mailing Address4099 Gemstone AveKingman, AZ 86401-7385 · (928) 530-5430
Fax(928) 692-1323
Sole ProprietorYes
Medical School CMSOtherGraduated 2000
Enumeration DateJanuary 7, 2008
Last NPPES UpdateJuly 27, 2015
NPI 1912182130 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
License Licensed in AZ · 875166
Definition

A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.

2535 HUALAPAI MTN RD, Kingman, AZ 86401

Other Names 1

Former Name (1)Tammy Jeanne Clark

Other Identifiers 4

Medicaid311096AZ
OtherZ168265AZ · Medicare
Medicare PIN120574AZ
Medicare PIN563AZ

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Tammy Jeanne Davison Rd, Cde is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3173592938
PECOS Enrollment IDI20040928001092

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Therapy procedure for nutrition management, each 15 minutes 97802
This is a 15-minute session focused on managing your nutrition. A professional will assess your dietary habits and provide personalized advice to improve your health. It can help manage weight, control chronic diseases, and promote overall wellbeing.
527 services129 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 86401 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $55.44 – $168.60
Typical copayment $0.00 (range $13.86 – $42.15)
Most-billed visit code NA
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1912182130, enumerated as an "individual" on January 07, 2008.

The provider is located at 2535 HUALAPAI MTN RD STE C KINGMAN, AZ 86401 and the phone number is (928) 415-0446.

Dietitian, Registered with taxonomy code 133V00000X.

The provider might be accepting Accepts: Ambetter from Arizona Complete Health, Blue Cross. Please consult your insurance carrier or call the provider to verify.