Active NPIIndividual provider

Tara Liskov, RD

Dietitian, Registered in Trumbull, Connecticut

NPI Number1245231802
Practice location
999 Silver Ln, Suite 2A, Trumbull, CT 06611-5343
Fax
203-377-4156
Last updated
July 20, 2015

Tara Liskov is a Dietitian, Registered based in Trumbull, CT. Tara Liskov practices in Trumbull, CT and has the professional credentials of RD. The NPI Number for Tara Liskov is 1245231802 and holds a License No. 000358 (CT). The current practice location address for Tara Liskov is 999 Silver Ln, Suite 2A, Trumbull, CT 06611-5343 and can be reached out via phone at 203-386-0044 and via fax at 203-377-4156.

Provider Profile Details

NPI Number
1245231802
Provider Name
Tara Liskov
Credential
RD
Provider Entity Type
Individual
Gender
Female
Address
999 Silver Ln, Suite 2A, Trumbull, CT 06611-5343
Phone Number
203-386-0044
Fax Number
203-377-4156
Primary Taxonomy
Dietitian, Registered · 133V00000X
Sole Proprietor
No
Provider Enumeration Date
August 4, 2005
Last Update Date
July 20, 2015
NPI Status
Active

Provider Business Practice Location Address Details

Address
999 Silver Ln
Suite 2A
Trumbull, CT 06611-5343
Zip
06611-5343
Phone Number
203-386-0044
Fax Number
203-377-4156
Trumbull, CT 06611Get directions →

Provider Business Mailing Address Details

Address
999 Silver Ln
Suite 2A
Trumbull, CT 06611-5343
City
Trumbull
State
CT
Zip
06611-5343
Phone Number
203-386-0044
Fax Number
203-377-4156

License Information

License Number
000358
License State
CT
Taxonomy
Dietitian, Registered · 133V00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Tara Liskov, RD?

The NPI number of Tara Liskov, RD is 1245231802. It was assigned on August 4, 2005 and is currently active in the NPPES registry.

What is the specialty of Tara Liskov, RD?

Tara Liskov, RD is registered under the primary taxonomy Dietitian, Registered (code 133V00000X), licensed in CT under license number 000358.

Where does Tara Liskov, RD practice?

The practice location is 999 Silver Ln, Suite 2A, Trumbull, CT 06611-5343. The office can be reached at 203-386-0044 (phone) or 203-377-4156 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1245231802 directly on the NPPES registry website.

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