TINA BOST (RDN) – Registered Dietitian, NPI 1194707414

TINA BOST (RDN) is a healthcare provider. based in Jacksonville, Florida. specializing in REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL. They hold the professional credentials RDN. They hold a License No. ND4361 (FL). The NPI Number for TINA BOST (RDN) is 1194707414

Main info

Female
30 Years Of Experience
Accepts Medicare Assignment
Name
TINA BOST (RDN)
NPI
1194707414
Phone
Not provided
Address
4500 SAN PABLO RD S
Enumeration Date
14 November 2005
Last Update Date
12 October 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9049532000
Graduation Year
1996 (30 years ago)
PAC ID
6901877091
Group Practice PAC ID
5698689297
Professional Enrollment ID
I20040803000658
Address ID
FL322241865JA4500XSXXX500
Telehealth
Yes

Contacts

Secure Messaging
tbost390678@ehrdirect.mayoclinicmsg.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

355 REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL in FL

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Provider Addresses for TINA BOST (RDN)

  • San Pablo Road South, San Pablo, Jacksonville, Duval County, Florida, 32224, United States

    JACKSONVILLE, FL 322241865

    Phone:

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2004-08-03

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040803000658IRegistered Dietitian Or Nutrition ProfessionalFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97804Therapy procedure for nutrition management with group, each 30 minutes7337$0
View full utilization report →

Insurance plans in this area (ZIP 32224)

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Provider's Procedures

TINA BOST (RDN) performs procedures in REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
REGISTERED DIETITIAN OR NUTRITION PFL97804Medical nutrition therapy performed in a group setting, each 30 minutes18089

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5698689297View full group profile
NameSpecialtyState
Physician AssistantFL
G A S T R O E N T E R O L O G YFL
Orthopedic SurgeryFL
Internal MedicineFL
Certified Registered Nurse Anesthetist (Crna)FL
Certified Registered Nurse Anesthetist (Crna)FL
Physician AssistantFL
Nurse PractitionerFL
-FL
Certified Registered Nurse Anesthetist (Crna)FL

Reviews

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Frequently asked questions

Is there an official ID for TINA BOST (RDN) in U.S. healthcare records?
The official identifier for TINA BOST (RDN) is NPI 1194707414.
Is TINA BOST (RDN) shown as active in public data?
Registry records indicate TINA BOST (RDN) maintains an active NPI.
What kind of doctor is TINA BOST (RDN)?
TINA BOST (RDN) is associated with Registered Dietitian in the directory — Clinical services aligned with this taxonomy classification.
Is TINA BOST (RDN) associated with Jacksonville?
Public fields place TINA BOST (RDN) around Jacksonville, Florida. Always confirm the exact site before visiting.
When was this NPI issued?
Enumeration for TINA BOST (RDN) is noted as November 14, 2005 where the registry provides it.

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