Prudence M. Ticknor, RD
- Medicare patients, 2024
- 12
- Affiliated sites
- 1
- Medical group
- 1
- State license
- 1
- Year NPI issued
- 2014
- Practice address
- 644 E Harding Way, Stockton, CA 95204
- Practice phone
- Call (209) 422-6120
- Professional email
- Get professional email
- Personal email
- Get personal email
- Mobile number
- Get mobile number
Primary practice
Central California Bariatric Surgery a Medical Corporation
Stockton, California
Find Prudence Ticknor's professional email, personal email and mobile number
Dmand AI checks each channel through healthcare-specific waterfall enrichment. See what is on file with a free account, with practice phones, licenses and affiliations.
Prudence M. Ticknor is a registered dietitian in Stockton, California
Prudence Ticknor practices at Central California Bariatric Surgery a Medical Corporation in Stockton, California.
Prudence Ticknor's NPI, 1174920821, was assigned on November 24, 2014. Prudence Ticknor holds North Carolina license 819773.
- NPI
- 1174920821NPI Registry (opens in a new tab)
- Medicare PAC ID
- 4688938483
- NPI enumeration date
- November 24, 2014
- NPI status
- Active
- Accepts Medicare assignment
- Yes
- Practice phone
- (209) 422-6120
- Professional email
- Get email
- Personal email
- Get email
- Mobile number
- Get number
- Sex
- Female
- Estimated age
- 55
- Medical school graduation
- 1997
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; Dmand AI Practice Data; and Doctors and Clinicians National Downloadable File (CMS)
Prudence M. Ticknor practices at Central California Bariatric Surgery a Medical Corporation in Stockton, California
Prudence Ticknor's primary practice is Central California Bariatric Surgery a Medical Corporation, at 644 E Harding Way, Stockton, CA 95204 in San Joaquin County. The practice phone is (209) 422-6120.
- Central California Bariatric Surgery a Medical Corporation644 E Harding Way, Stockton, CA 95204 · San Joaquin CountyPhone(209) 422-6120
Sources: NPPES NPI Registry (CMS); and Dmand AI Practice Data
Prudence M. Ticknor is affiliated with 2 sites of care and 1 medical group
Prudence Ticknor's primary practice is Central California Bariatric Surgery a Medical Corporation in Stockton, California. The medical group on file is Central California Surgery. Dmand AI also links Prudence Ticknor to 1 more group practice or clinic, named with a free account.
Sources: NPPES NPI Registry (CMS); Dmand AI Practice Data; and Dmand AI Affiliation Data
Dmand AI tracks the EHR system at Prudence M. Ticknor's practice
Dmand AI tracks the electronic health record (EHR) system at each site where Prudence Ticknor practices. Vendor and product names are available with a free account.
| Site | EHR vendor and product |
|---|---|
| Central California Bariatric Surgery a Medical Corporation | Available with a free account |
| +1 more affiliated site | Available with a free account |
Source: Dmand AI Technology Install Data
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Prudence M. Ticknor is one of 1,141 registered dietitians in California
Dietitian, registered is Prudence Ticknor's primary specialty in the NPI Registry, under taxonomy code 133V00000X. Prudence Ticknor is licensed in North Carolina.
Specialties and state licenses
- Registered dietitian, North CarolinaPrimary
Registered dietitians near Prudence Ticknor
Counts of registered dietitians with a Dmand AI profile, by place and practice. Each opens the list.
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Peer Benchmarks
Prudence M. Ticknor treated 12 Medicare patients in 2024, average age 55
CMS counts 12 Medicare patients who saw Prudence Ticknor in 2024. The largest group is 75 to 84, with 0 patients. 75% of them have diabetes. Their average risk score is 2.01, where 1.00 is the Medicare average, so they are sicker than most Medicare patients.
Across all payers, Dmand AI patient panel data puts Prudence Ticknor's median patient age at 41, with 84% women.
Prudence Ticknor's Medicare patients by age, 2024
CMS leaves out age groups with fewer than 11 patients.
Chronic conditions among Prudence Ticknor's Medicare patients, 2024
- Diabetes75%
Share of Medicare patients with each condition. A patient can have several.
Prudence Ticknor's patients across all payers
Dmand AI patient panel data covers Medicare, Medicaid and commercial patients.
Patient panel by age, all payers
Median age 41
Patient panel by sex, all payers
- Women84%
- Men15%
Sources: Dmand AI Patient Panel Data; and Medicare Physician & Other Practitioners - by Provider (CMS), 2024 data
How Prudence M. Ticknor takes part in Medicare
Prudence Ticknor accepts Medicare assignment, so Medicare's approved amount is taken as full payment.
- Accepts Medicare assignment
- Yes
Source: Doctors and Clinicians National Downloadable File (CMS)
Sources for Prudence M. Ticknor's profile data
| Data on this page | Source |
|---|---|
| NPI, name, sex, specialty and licenses | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data |
| Practice locations and phone | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Practice Data |
| Primary practice, affiliations and health system | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Practice DataDmand AI Affiliation Data |
| Medicare patients and the all-payer patient panel | Dmand AI Patient Panel DataMedicare Physician & Other Practitioners - by Provider (CMS) (opens in a new tab) |
| MIPS scores, telehealth, assignment and procedure percentiles | Doctors and Clinicians National Downloadable File (CMS) (opens in a new tab) |
| EHR at each practice site | Dmand AI Technology Install Data |
| Similar physicians | Dmand AI Affiliation Data |
Data last refreshed October 2026Report an inaccuracyRemove my information
FAQ
Frequently asked questions about Prudence M. Ticknor
Spotted something out of date? Email hello@dmand.ai and we will check the record. Contact details live in the free trial.
What is Prudence M. Ticknor's NPI number?
Prudence M. Ticknor's NPI number is 1174920821. It was assigned on November 24, 2014, and it is active in the NPI Registry.
What does Prudence M. Ticknor specialize in?
Prudence M. Ticknor is a registered dietitian in Stockton, California. The primary specialty in the NPI Registry is Registered Dietitian (taxonomy code 133V00000X).
Where does Prudence M. Ticknor practice?
Prudence Ticknor practices at 644 E Harding Way, Stockton, CA 95204. Prudence Ticknor's primary practice is Central California Bariatric Surgery a Medical Corporation in Stockton, California. Dmand AI also links Prudence Ticknor to 1 group practice or clinic.
What is Prudence M. Ticknor's office phone number?
The practice phone on file for Prudence Ticknor is (209) 422-6120.
What is Prudence M. Ticknor's medical license number?
Prudence Ticknor holds North Carolina license 819773.
What medical group is Prudence M. Ticknor part of?
Prudence Ticknor is linked to Central California Surgery.
Does Prudence M. Ticknor accept Medicare?
Yes. CMS lists Prudence Ticknor as accepting Medicare assignment.
How many Medicare patients does Prudence M. Ticknor see?
CMS counts 12 Medicare patients who saw Prudence Ticknor in 2024, with an average age of 55.
How long has Prudence M. Ticknor been practicing?
Prudence Ticknor graduated from medical school in 1997, 29 years ago.
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