Provider Demographics
NPI:1710228242
Name:SILVERA, KIANNA TAMARA (RD, CDE, LDN)
Entity Type:Individual
Prefix:MS
First Name:KIANNA
Middle Name:TAMARA
Last Name:SILVERA
Suffix:
Gender:F
Credentials:RD, CDE, LDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:615 N 18TH ST APT B
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19130-3542
Mailing Address - Country:US
Mailing Address - Phone:215-385-4949
Mailing Address - Fax:
Practice Address - Street 1:HCD INTERNATIONAL
Practice Address - Street 2:4390 PARLIAMENT PLACE SUITE A
Practice Address - City:LANHAM
Practice Address - State:MD
Practice Address - Zip Code:20706
Practice Address - Country:US
Practice Address - Phone:215-385-4949
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-03-07
Last Update Date:2019-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADN005018133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered