TAMMY PETROSSIAN RD CSP CNSD NPI 1811210511

NPI Information

  • NPI: 1811210511
  • Provider Name: TAMMY PETROSSIAN, RD, CSP, CNSD
  • Classification: Dietitian, Registered - 133VN1004X
  • Specialization: Nutrition, Pediatric
  • Entity Type: Individual
  • Address: 1014 SAN JUAN AVE
    EXETER, CA
    ZIP 93221
  • Phone: (559) 592-7360

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NPI Details

Tammy Petrossian, RD, CSP, CNSD is a nutrition and pediatric dietitian registered in Exeter, CA. The provider is an individual who is a Board Certified Specialist in Pediatric Nutrition and applies evidence-based nutrition knowledge in providing medical nutrition therapy for pediatric patients. Specialists work directly with healthy and/or ill children (newborn up to 21 years of age) as well as children with special health care needs in a variety of settings (hospitals, community-based and/or family-centered programs, education programs, home, etc.), OR indirectly through management, care coordination, education, quality improvement, or research practice linked specifically to pediatric nutrition. Tammy Petrossian, RD, CSP, CNSD NPI is 1811210511. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1014 SAN JUAN AVE
EXETER, CA
ZIP 93221-312
Phone: (559) 592-7360
Fax: (559) 592-5629

The enumeration date for this NPI number is 3/9/2010 and was last updated on 3/9/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1133V00000XDietitian, Registered816014CALIFORNIANo
2133VN1004XDietitian, RegisteredNutrition, Pediatric816014CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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