Stacia McCahan, RD,LD/N

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

ND 8075 Issued in FL

Practice address

2380 3Rd St S
Suite #1
Jacksonville Beach, FL 32250-4072

Phone

(904) 270-1234

NPI assigned

Feb 28, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jul 1, 2025 through Jul 1, 2027

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Beaded Star Recovery,LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Jacksonville Beach, FL
  • NPI 1053681205
  NPD (past)
• Life Arts Counseling, LLC

  • Registered Dietitian
  • St Augustine, FL
  • NPI 1629951256

  Dietitian, Registered

  NPD (past)

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

{
    "created_epoch": "1488240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643846400000",
    "number": "1831639624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2380 3RD ST S",
            "address_2": "SUITE #1",
            "city": "JACKSONVILLE BEACH",
            "state": "FL",
            "postal_code": "322504072",
            "telephone_number": "904-270-1234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2380 3RD ST S",
            "address_2": "SUITE #1",
            "city": "JACKSONVILLE BEACH",
            "state": "FL",
            "postal_code": "322504072",
            "telephone_number": "904-270-1234"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12058 San Jose Blvd Ste 602",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322238668",
            "country_code": "US",
            "telephone_number": "904-799-7949",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCAHAN",
        "first_name": "STACIA",
        "credential": "RD,LD/N",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-28",
        "last_updated": "2022-02-03",
        "certification_date": "2022-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "FL",
            "license": "ND 8075",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "IMH21568",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joanna Matheney, RPH
• Jonathan W May, LMHC
• Mayfair Opticians Inc.
• MB 4 You, LLC
• Hazeline Katherine McCabe, PA
• Kaylee McCallan
• Jill Tyler McCann, MS, RD, LD/N
• Cory Lee McCormick, ARNP
• Amy Annelle McCoy, D.O.
• Natalie McFadden

• Registered Dietitian in Jacksonville Beach, FL
• Providers in Jacksonville Beach, FL by specialty
• Registered Dietitian in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.