Provider Demographics
NPI:1528458601
Name:TUMA, JILLIAN JANEL (RD)
Entity type:Individual
Prefix:
First Name:JILLIAN
Middle Name:JANEL
Last Name:TUMA
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:617 E ELM ST
Mailing Address - Street 2:
Mailing Address - City:SALINA
Mailing Address - State:KS
Mailing Address - Zip Code:67401-8537
Mailing Address - Country:US
Mailing Address - Phone:785-825-8221
Mailing Address - Fax:785-452-3294
Practice Address - Street 1:617 E ELM ST
Practice Address - Street 2:
Practice Address - City:SALINA
Practice Address - State:KS
Practice Address - Zip Code:67401-8537
Practice Address - Country:US
Practice Address - Phone:785-825-8221
Practice Address - Fax:785-452-3294
Is Sole Proprietor?:No
Enumeration Date:2015-01-28
Last Update Date:2015-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS20111677OAMedicaid
KS110116139Medicare PIN