MRS. JAN L TILLEY (RD, LD) – Registered Dietitian, NPI 1649446360

MRS. JAN L TILLEY (RD, LD) is a healthcare provider. based in Bulverde, Texas. specializing in Registered Dietitian. They hold the professional credentials RD, LD. They hold a License No. DT04462 (TX). The NPI Number for MRS. JAN L TILLEY (RD, LD) is 1649446360

Main info

Male
47 Years Of Experience
Accepts Medicare Assignment
Name
MRS. JAN L TILLEY (RD, LD)
NPI
1649446360
Phone
(210) 545-4422
Address
30063 CLOUD VIEW DR
Enumeration Date
2 May 2008
Last Update Date
2 May 2008

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2105454422
Graduation Year
1979 (47 years ago)
PAC ID
3375622434
Group Practice PAC ID
9234209990
Professional Enrollment ID
I20080501000146
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:18State licenses:1Digital endpointsOther names

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Provider Addresses for MRS. JAN L TILLEY (RD, LD)

  • 30063 CLOUD VIEW DR

    BULVERDE, TX 781634031

    Phone: (210) 545-4422

    Fax: (210) 545-4495

    Type: Mailing

  • North Loop 1604 East, San Antonio, Bexar County, Texas, 78233, United States

    SUITE 175

    SAN ANTONIO, TX 782321258

    Phone: (210) 545-4422

    Fax: (210) 545-4495

    Type: Location

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.

No Medicare enrollment or revalidation data available for this provider in our database.

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 78163)

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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: 9234209990View full group profile
NameSpecialtyState
-TX
Registered Dietitian Or Nutrition ProfessionalTX
Registered Dietitian Or Nutrition ProfessionalTX
Registered Dietitian Or Nutrition ProfessionalTX
Registered Dietitian Or Nutrition ProfessionalTX
Registered Dietitian Or Nutrition ProfessionalTX
Registered Dietitian Or Nutrition ProfessionalTX
Registered Dietitian Or Nutrition ProfessionalTX
Registered Dietitian Or Nutrition ProfessionalTX
Registered Dietitian Or Nutrition ProfessionalTX

Reviews

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Frequently asked questions

Is there an official ID for MRS. JAN L TILLEY (RD, LD) in U.S. healthcare records?
The official identifier for MRS. JAN L TILLEY (RD, LD) is NPI 1649446360.
Active or inactive — what applies to MRS. JAN L TILLEY (RD, LD)?
You should see MRS. JAN L TILLEY (RD, LD) as active in CMS-hosted NPPES data.
What kind of doctor is MRS. JAN L TILLEY (RD, LD)?
MRS. JAN L TILLEY (RD, LD) is associated with Registered Dietitian in the directory — Clinical services aligned with this taxonomy classification.
What practice footprint exists for MRS. JAN L TILLEY (RD, LD)?
Travel planning: use Bulverde, Texas as the reference point for MRS. JAN L TILLEY (RD, LD), then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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