Prudence Ticknor , RD
Dietitian, Registered • Modesto, CA
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Professional Overview & Biography Verified Profile Summary
Prudence Ticknor, RD is a registered Dietitian, Registered practitioner in Modesto, CA. With approximately 29 years of clinical practice since completing medical education in 1997, Prudence Ticknor provides healthcare services at the registered practice location at 1552 COFFEE RD.
Prudence Ticknor is affiliated with Central California Bariatric Surgery A Medical Corporation and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.
Frequently performed procedures and clinical services include medical nutrition therapy, assessment and intervention, each, medical nutrition therapy performed in a group setting, each. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.
Practice Location & Contact Primary Location
1552 Coffee Rd
Suite 200
Modesto, CA 953553122
Medicare Profile & Education
Other
1997
✓ Accepts Assignment
Telehealth Services Available
Specialty Benchmarks & Practice Insights
Comparative analytics for Dietitian, Registered in Modesto, CA
Practicing in Modesto, CA (7235 Statewide)
✓ Offers Virtual Consultations
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Clinical Seniority & Experience Comparison
Performed Procedures & Service Volume
Top Medicare Part B procedures performed by this practitioner
| HCPCS Code & Description | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
|
97802
Medical nutrition therapy, assessment and intervention, each 15 minutes
|
50 | 15 | $50.00 | $28.23 |
Medical Specialties & State Licenses
NUCC Taxonomy Code: 133V00000X
A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.
Hospital & Practice Group Affiliations
Central California Bariatric Surgery A Medical Corporation
1552 Coffee Rd, Modesto, CA 953553122
Phone: 2092487168151
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Surgery
Doctor of Medicine (M.D.)
Nurse Practitioner - Family
Master of Science in Nursing, Advanced Practice Registered Nurse, Family Nurse Practitioner (Board Certified)
Nurse Practitioner - Family
Nurse Practitioner
Nurse Practitioner - Family
Family Nurse Practitioner
Surgery
Doctor of Medicine (M.D.)
Psychologist - Clinical
Doctor of Psychology (Psy.D.)
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
NPI status registered as active in NPPES database
Registered at 1552 COFFEE RD, SUITE 200, MODESTO, CA 953553122 (Tel: 2092487168)
Registered at 1552 COFFEE RD, SUITE 200, MODESTO, CA 953553122 (Tel: 2092487168)
Recorded as PRUDENCE TICKNOR, RD
Dietitian, Registered (License #819773 in NC)
NPI status registered as active in NPPES database
Registered at 15 HIGHWAY 50, CAESARS HEALTH AND WELLNESS CENTER, STATELINE, NV 89449 (Tel: 7755865000)
Registered at PO BOX 8, 15 HIGHWAY 50, CAESARS HEALTH AND WELLNESS CENTER, STATELINE, NV 89449 (Tel: 7755865000)
Recorded as PRUDENCE TICKNOR, RD
Dietitian, Registered (License #819773 in NC)
First registered as active Individual Practitioner in NPPES Database.
Patient & Community Reviews
Verified patient ratings, medical care experiences, and facility photos
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NPI Administrative Meta
Mailing Address
1552 Coffee Rd, Suite 200
Modesto, CA 953553122
Phone: 2092487168
This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.