Tara Young, PHD, RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

863298 Issued in MD

Practice address

1326 SE 16TH Ave
Canby, OR 97013-6370

Phone

(240) 444-2962

NPI assigned

Jul 25, 2024

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

Enrolled in OR

Enrollment records 1

Specialty

Registered Dietitian Or Nutrition Professional

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Valeria Health LLCGroup PAC ID 6406196583, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• Valeria Health, LLC

  • Registered Dietitian
  • Portland, OR
  • NPI 1225508369

  Dietitian, Registered

  Medicare reassignment Care Compare group NPD
• Tara Young PHD Rd Nutrition Consultant LLC

  • Registered Dietitian
  • Canby, OR
  • NPI 1881422301

  Dietitian, Registered

  NPD Authorized official
• Fay Nutrition

  • Registered Dietitian
  • San Francisco, CA
  • NPI 1104334465

  Dietitian, Registered

  NPD (past)

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

{
    "created_epoch": "1721865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751328000000",
    "number": "1730917246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1326 SE 16TH AVE",
            "city": "CANBY",
            "state": "OR",
            "postal_code": "970136370",
            "telephone_number": "240-444-2962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1326 SE 16TH AVE",
            "city": "CANBY",
            "state": "OR",
            "postal_code": "970136370",
            "telephone_number": "240-444-2962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "TARA",
        "credential": "PHD, RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-25",
        "last_updated": "2025-07-01",
        "certification_date": "2025-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MD",
            "license": "863298",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Willison, OTR/L
• Michael E Wilson, M.S.
• Susan J Wilson, NNP
• Melvin H Yamase, M.D.
• Katharine Warfield Yeaton, CADC 1, CRM
• Marc A Zenoniani, MD
• Katrina Anne Zens
• John A Zieg, O.D.
• Kristin Jane Zosel, MS PT

• Registered Dietitian in Canby, OR
• Providers in Canby, OR by specialty
• Registered Dietitian in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2025; 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.