Candiace Amora Piccolo, RD, LD
Dietitian, Registered in Eugene, OR. Individual provider (NPI-1).
NPI number1316377484
StatusActive
Last updated in NPPESNov 27, 2019
Details
- NPI
- 1316377484
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Candiace Amora Piccolo
- Credential
- RD, LD
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Nov 26, 2013
- Last updated
- Nov 27, 2019
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 133V00000X | Dietitian, Registered | CDR-1106542 | CA | Yes |
| 133V00000X | Dietitian, Registered | LD-D-10196307 | OR |
Practice location
488 Salty WayEugene, OR 97404-2488
Phone 714-318-9905
Mailing address
488 Salty WayEugene, OR 97404-2488
Phone 714-318-9905
Other practice locations
4154 Alana Cir
Oceanside, CA 92056-3440
Oceanside, CA 92056-3440
Phone 714-318-9905
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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