NPPES file of Aug 9, 2026

Prudence Ticknor, RD

Registered Dietitian · Modesto, CA

Prudence Ticknor, RD is a registered dietitian with a practice address in Modesto, California, and NPI 1174920821, issued on Nov 24, 2014. Check the license with the California board that licenses this profession; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1174920821
Name
Prudence Ticknor
Credential
RD
Primary taxonomy
Registered Dietitian 133V00000X
License number
819773 NC
Self-reported in NPPES; status is on the state search
Practice location
1552 Coffee RD, Modesto, CA 95355
Phone
(209) 248-7168
Enumerated
Nov 24, 2014
Record last updated
Mar 21, 2017 (not updated in 9 years: call before relying on the address or phone)
Medicare enrollment
Enrolled (PECOS I20180502002366); accepts Medicare assignment
Telehealth
Offers telehealth (CMS)
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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8 nearest registered dietitian records → All 7,148 in California → Look up another NPI →

Also registered at 1552 Coffee RD

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Pam Grassmidt, RNCAdult Health Nurse Practitioner1073735163
  2. Nicholas Hopkins, MDObstetrics & Gynecology Physician1528414133
  3. Stephen Liu, M.D.Vascular & Interventional Radiology Physician1306889860
  4. Adrienne Rivera, NPNurse Practitioner1811594955
  5. Matthew Tilstra, MDObstetrics & Gynecology Physician1235576638
  6. Esther Tow-Der, M.D.Obstetrics & Gynecology Physician1427008028

Verify Prudence Ticknor in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich California board licenses this professionCheck the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Find the California license search

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Bills Medicare through one group practice

  1. Central California Bariatric Surgery A Medical CorporationModesto, CA

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Prudence Ticknor among 7,148 registered dietitian records in California

Prudence Ticknor, RD is one of 7,148 registered dietitian records with a practice address in California. 5% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2014, is newer than 32% of them.

  • NPI issued2014 · 32% of these records are older, 65% newer
  • In a Medicare fileYes · 5% of these records are
  • In the CMS Doctors and Clinicians fileYes · 7% of these records are
  • Graduated1997 · median 2014 among the 529 with a school on file
  • Record last updated2017 · 55% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 133V00000X and a California practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Registered Dietitian providers in California

There are 7,148 registered dietitian records in California.

All 7,148 in California → Every provider in Modesto → Registered Dietitian nationwide →

The 8 registered dietitian records with the nearest ZIP codes

  1. Micah Bautista, RDNModesto, CA 953551164175063
  2. Allison BoydModesto, CA 953551326234220
  3. Arun Chowdhary, MBA, RD, CDEModesto, CA 953551982129201
  4. Connor Farris, RDModesto, CA 953551225838352
  5. Megan Glass, RDModesto, CA 953551043037427
  6. Janice Hadley, R.D.Modesto, CA 953551770818510
  7. Sandra Higgs, R.D.Modesto, CA 953551447577077
  8. Carol Kraft, R.D.Modesto, CA 953551558570572

Common questions

What is Prudence Ticknor, RD's NPI number?

Prudence Ticknor, RD's National Provider Identifier (NPI) is 1174920821, issued on Nov 24, 2014. An NPI identifies a provider in billing; it is not a license.

Where is Prudence Ticknor, RD located?

The NPPES record lists a practice address at 1552 Coffee RD, Modesto, CA, 95355. Phone: (209) 248-7168. Providers update this record themselves, so call before visiting.

How can I verify Prudence Ticknor, RD's license?

Search the California board that licenses this profession; the NPPES record confirms identity only.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Written with AI tools from the named public files; every figure is computed from those files (how it is made).

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.