Active NPI
Taylor Made Nutrition
- Registered Dietitian
- Wapato, WA
National Provider Identifier
1083537468
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Legal business name
- TAYLOR MADE NUTRITION
- Practice address
- 451 Ingalls LN
Wapato, WA 98951-9678 - Phone
- (509) 494-3277
- NPI assigned
- Aug 3, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Carol Casco Taylor, MPH RDN CDCES
- Title
- Registered Dietitian
- Phone
- (509) 494-3277
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | Primary |
Addresses
Primary practice location
451 Ingalls LN
Wapato, WA 98951-9678
Mailing address
451 Ingalls LN
Wapato, WA 98951-9678
Phone (509) 494-3277
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1785715200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1785715200000",
"number": "1083537468",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "451 INGALLS LN",
"city": "WAPATO",
"state": "WA",
"postal_code": "989519678",
"telephone_number": "509-494-3277"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "451 INGALLS LN",
"city": "WAPATO",
"state": "WA",
"postal_code": "989519678",
"telephone_number": "509-494-3277"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TAYLOR MADE NUTRITION",
"organizational_subpart": "NO",
"enumeration_date": "2026-08-03",
"last_updated": "2026-08-03",
"certification_date": "2026-08-02",
"status": "A",
"authorized_official_last_name": "TAYLOR",
"authorized_official_first_name": "CAROL",
"authorized_official_middle_name": "CASCO",
"authorized_official_title_or_position": "REGISTERED DIETITIAN",
"authorized_official_telephone_number": "509-494-3277",
"authorized_official_credential": "MPH RDN CDCES"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wapato, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.