Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Judy Ann Tillapaugh, RDNLD

Individual provider Registered Dietitian · NPI 1558153981

Judy Ann Tillapaugh, RDNLD is a Registered Dietitian OR Nutrition Professional in Fort Wayne, Indiana. Qualified in 1982, 44 years ago. Practices as a sole proprietor. Licensed in Indiana.

Years since qualifying
44
Licensed in
IN
In the registry since
2025
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Practice location Address checks out

1007 W Rudisill Blvd
Fort Wayne, IN 46807-2170
Phone: (260) 425-5180
Fax: (260) 425-5210
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence 37000972A (IN)

Record details

NPI number1558153981
Entity typeIndividual (Type 1)
GenderFemale
Credentials RDNLD
Sole proprietorYes
NPI enumeratedMay 21, 2025
Last updated in NPPESSeptember 23, 2025
Certification dateSeptember 23, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyREGISTERED DIETITIAN OR NUTRITION PROFESSIONAL
Medical schoolOTHER
Graduated 1982 (44 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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