Individual provider Active NPI

Tegan Bissell, RD, LDN, CDCES

  • Registered Dietitian
  • Jensen Beach, FL
National Provider Identifier
1437542230
Registry record updated Mar 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
ND6894 Issued in FL
Practice address
3496 NW Federal Hwy
Suite F
Jensen Beach, FL 34957-4441
Phone
(772) 223-4916
Fax
(772) 223-2887
NPI assigned
Mar 18, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 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 ND6894 FL Primary

Addresses

Primary practice location

3496 NW Federal Hwy
Suite F
Jensen Beach, FL 34957-4441

Mailing address

407 Coconut Ave E
Port Saint Lucie, FL 34952-1328
Phone (802) 376-8964

Other practice location 1

33-41 Newark St Fl 5
Hoboken, NJ 07030-5627
Phone (917) 647-1665

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150416002416 FL Practitioner - Registered Dietitian Or Nutrition Professional 4082932371 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

407 Coconut Ave E
Port Saint Lucie, FL 34952-1328
Phone (772) 207-1097

Hospital & facility affiliations

  • Cleveland Clinic Martin North Hospital Hospital, Stuart, FL, CCN 100044

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles (4 of 6)

OrganizationSpecialtyStatusNew patients
Martin Memorial Medical Center Inc CurrentSince Mar 16, 2015 Accepting new patients
Resilient Nutrition Dietitian, Registered CurrentSince Mar 23, 2023 Accepting new patients
Fay Nutrition Dietitian, Registered Past Accepting new patients
Marjorie Nolan Cohn LLC Dietitian, Registered Past Accepting new patients

Locations

3496 NW Federal Hwy
Ste F
Jensen Beach, FL 34957
Phone (772) 223-4916

3496 NW Federal Hwy
Ste D
Jensen Beach, FL 34957
Phone (772) 223-5619

200 SE Hospital Ave
Stuart, FL 34994
Phone (772) 223-5618

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1426636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772841600000",
    "number": "1437542230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 COCONUT AVE E",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349521328",
            "telephone_number": "802-376-8964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3496 NW FEDERAL HWY",
            "address_2": "SUITE F",
            "city": "JENSEN BEACH",
            "state": "FL",
            "postal_code": "349574441",
            "telephone_number": "772-223-4916",
            "fax_number": "772-223-2887"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "33-41 Newark St Fl 5",
            "address_purpose": "LOCATION",
            "city": "Hoboken",
            "state": "NJ",
            "postal_code": "070305627",
            "country_code": "US",
            "telephone_number": "917-647-1665",
            "fax_number": "201-473-5812",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BISSELL",
        "first_name": "TEGAN",
        "credential": "RD, LDN, CDCES",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-18",
        "last_updated": "2026-03-07",
        "certification_date": "2026-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "FL",
            "license": "ND6894",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jensen Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.