Phara Jourdan Taylor, MS RD LDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

ND5606 Issued in FL

Practice address

10570 S US Highway 1
Port Saint Lucie, FL 34952-5606

Phone

(772) 878-8227

Fax

(772) 324-7863

NPI assigned

Dec 15, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Phara Jourdan Former name

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Specialty

Registered Dietitian Or Nutrition Professional

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/d04f75c7-2a62-4686-b520-7bf0635f38f0/

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.

• Phara Inc

  • Registered Dietitian
  • Port St Lucie, FL
  • NPI 1396075651

  Dietitian, Registered

  NPD (past) Authorized official
• DO Not Use - the Lowell General Hospital

  • General Acute Care Hospital
  • Lowell, MA
  • NPI 1013983287
  NPD (past)
• Fay Nutrition

  • Registered Dietitian
  • San Francisco, CA
  • NPI 1104334465

  Dietitian, Registered

  NPD (past)
• Nourish, Inc.

  • Registered Dietitian
  • Austin, TX
  • NPI 1558097824

  Dietitian, Registered

  NPD (past)
• The Lowell General Hospital

  • General Acute Care Hospital
  • Lowell, MA
  • NPI 1407804669
  NPD (past)

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

{
    "created_epoch": "1166140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717372800000",
    "number": "1740342799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 NW LYNDHURST CT",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349833440",
            "telephone_number": "772-878-8227",
            "fax_number": "772-324-7863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10570 S US HIGHWAY 1",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349525606",
            "telephone_number": "772-878-8227",
            "fax_number": "772-324-7863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "PHARA",
        "middle_name": "JOURDAN",
        "credential": "MS RD LDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-15",
        "last_updated": "2024-06-03",
        "certification_date": "2024-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "FL",
            "license": "ND5606",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PHARA",
            "last_name": "JOURDAN",
            "credential": "MS RD LDN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Gina Paola Tapias, PTA
• Tara B Pirela Medical Supply
• Laura A Taylor, M.S.
• Mercedes L Taylor
• Michka Taylor
• Ramiyah Chantell Taylor
• TC Spine & Sport PSL LLC
• TCC Psychotherapy
• TCP Connect Financial Services LLC
• TCT Ride LLC

• Registered Dietitian in Port Saint Lucie, FL
• Providers in Port Saint Lucie, FL by specialty
• Registered Dietitian in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2024; 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.