Individual provider Active NPI

Taiga B Sudakin, RD, LD

  • Registered Dietitian
  • Corvallis, OR
National Provider Identifier
1275522989
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
414 Issued in OR
Practice address
310 NW 5TH St
Ste107
Corvallis, OR 97330-4842
Phone
(541) 753-6555
NPI assigned
Oct 14, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 414 OR Primary

Addresses

Primary practice location

310 NW 5TH St
Ste107
Corvallis, OR 97330-4842

Mailing address

310 NW 5TH St
Ste107
Corvallis, OR 97330-4842
Phone (541) 753-6555

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1129248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1275522989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 NW 5TH ST",
            "address_2": "STE107",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973304842",
            "telephone_number": "541-753-6555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 NW 5TH ST",
            "address_2": "STE107",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973304842",
            "telephone_number": "541-753-6555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUDAKIN",
        "first_name": "TAIGA",
        "middle_name": "B",
        "name_prefix": "Mrs.",
        "credential": "RD, LD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-14",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "OR",
            "license": "414",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corvallis, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.

Verify at the official NPI Registry.