Individual provider Active NPI

Taylor Jessica Schirra, RDN

  • Registered Dietitian
  • Dunmore, PA
National Provider Identifier
1376156398
Registry record updated Apr 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Practice address
619 E Drinker St Unit 2
Dunmore, PA 18512-2562
Phone
(570) 520-2400
Fax
(570) 520-2500
NPI assigned
Aug 28, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2022

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 Primary

Addresses

Primary practice location

619 E Drinker St Unit 2
Dunmore, PA 18512-2562

Mailing address

12015 Rose Dr
Clarks Summit, PA 18411-9546
Phone (570) 903-4626

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

Practice roles

OrganizationSpecialtyStatusNew patients
Taylor Schirra Nutrition & Wellness LLC Dietitian, Registered CurrentSince Jul 25, 2021 Accepting new patients
Nourish, Inc. Dietitian, Registered Past Accepting new patients

Organizations & group practices 2

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": "1598572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649203200000",
    "number": "1376156398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12015 ROSE DR",
            "city": "CLARKS SUMMIT",
            "state": "PA",
            "postal_code": "184119546",
            "telephone_number": "570-903-4626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "619 E DRINKER ST UNIT 2",
            "city": "DUNMORE",
            "state": "PA",
            "postal_code": "185122562",
            "telephone_number": "570-520-2400",
            "fax_number": "570-520-2500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHIRRA",
        "first_name": "TAYLOR",
        "middle_name": "JESSICA",
        "credential": "RDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-28",
        "last_updated": "2022-04-06",
        "certification_date": "2022-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dunmore, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2022; 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.