Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Tish Chambrae Mavigliano, RD, LD, CDE

Individual provider Registered Dietitian · NPI 1356447502

Mrs. Tish Chambrae Mavigliano, RD, LD, CDE is a Registered Dietitian in Paducah, Kentucky. Practices as a sole proprietor. Licensed in Kentucky.

Licensed in
KY
In the registry since
2006
What do these letters mean?
RD — Registered Dietitian
A credentialed nutrition professional.
LD — Licensed Dietitian
A dietitian licensed by a state board.
CDE — Certified Diabetes Educator
Teaches people to manage diabetes day to day.

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Practice location Address checks out

6525 U S Highway 60 W Ste 100
Paducah, KY 42001
Phone: (270) 217-9691
Fax: (270) 575-9515
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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 1034 (KY)

Record details

NPI number1356447502
Entity typeIndividual (Type 1)
GenderFemale
Credentials RD , LD , CDE
Sole proprietorYes
NPI enumeratedSeptember 15, 2006
Last updated in NPPESMay 13, 2009

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