Individual provider Active NPI

Tayla Marie Magerman, MS, RD, LDN

  • Registered Dietitian
  • Brockton, MA
National Provider Identifier
1295486892
Registry record updated Sep 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
4959 Issued in MA
Practice address
130 Quincy Ave
Brockton, MA 02302-2803
Phone
(508) 941-7280
NPI assigned
Jan 14, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2025

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 4959 MA Primary

Addresses

Primary practice location

130 Quincy Ave
Brockton, MA 02302-2803

Mailing address

221 Washington St
Norwood, MA 02062-1547
Phone (508) 930-9617

Other practice location 1

7000 Great Meadow Rd
Dedham, MA 02026-4090
Phone (781) 234-9700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230310002001 MA Practitioner - Registered Dietitian Or Nutrition Professional 3476926544 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
4959MAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Signature Healthcare Medical Group Inc CurrentSince Feb 1, 2023 Accepting new patients

Locations

680 Centre St
Brockton, MA 02302
Phone (508) 941-7400

130 Quincy Ave
Brockton, MA 02302
Phone (508) 941-7268

Interoperability endpoints

  • Direct secure messaging: tayla.carter@direct.signature.masshiway.net

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1642118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759190400000",
    "number": "1295486892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 WASHINGTON ST",
            "city": "NORWOOD",
            "state": "MA",
            "postal_code": "020621547",
            "telephone_number": "508-930-9617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 QUINCY AVE",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023022803",
            "telephone_number": "508-941-7280"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7000 Great Meadow Rd",
            "address_purpose": "LOCATION",
            "city": "Dedham",
            "state": "MA",
            "postal_code": "020264090",
            "country_code": "US",
            "telephone_number": "781-234-9700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAGERMAN",
        "first_name": "TAYLA",
        "middle_name": "MARIE",
        "credential": "MS, RD, LDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-14",
        "last_updated": "2025-09-30",
        "certification_date": "2025-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MA",
            "license": "4959",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brockton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.