Sophia Lyann Tasler, R.D.

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

86006604 Issued in WA

Practice address

309 S G Street
Suite 4
Tacoma, WA 98405-4758

Phone

(253) 254-6945

NPI assigned

Sep 9, 2013

Last updated

Jul 21, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Aug 20, 2017 through Aug 20, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Sage Wisdom Nutrition LLC

  • Nutrition Education Nutritionist
  • Tacoma, WA
  • NPI 1386029858
  Authorized official Same address or phone

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

{
    "created_epoch": "1378684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469059200000",
    "number": "1285069344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "SOUTH G STREET",
            "address_2": "SUITE 4",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "984054758",
            "telephone_number": "253-254-6945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 S G STREET",
            "address_2": "SUITE 4",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984054758",
            "telephone_number": "253-254-6945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TASLER",
        "first_name": "SOPHIA",
        "middle_name": "LYANN",
        "name_prefix": "Mrs.",
        "credential": "R.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-09",
        "last_updated": "2016-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "WA",
            "license": "86006604",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cathleen Tarro, PTA
• Gary Tart, MD
• Donna Rachel Tarver, LICSW
• Tasc LLC (Tacoma Ambulatory Surgery Center)
• Erica Olivia Tasi, APRN
• Dawn M. Tate
• Jessica Tate
• Gary R Taubman, M.D.
• Winston Danai Tavee, M.D
• Rebecca G Taxier, M.D.

• Registered Dietitian in Tacoma, WA
• Providers in Tacoma, WA by specialty
• Registered Dietitian in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.