Active NPI
Dr Jessica Taub Podiatry DPM LLC
- Podiatrist
- Port Saint Lucie, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- Legal business name
- DR JESSICA TAUB PODIATRY DPM LLC
- Practice address
- 1331 SE Port St Lucie Blvd Ste 101
Port Saint Lucie, FL 34952-5331 - Phone
- (772) 283-3800
- NPI assigned
- Jun 10, 2024
- Last updated
- Jun 10, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jessica Emily Taub, DPM
- Title
- Aoutorized Official
- Phone
- (216) 402-3827
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | NU | Primary |
Addresses
Primary practice location
1331 SE Port St Lucie Blvd Ste 101
Port Saint Lucie, FL 34952-5331
Mailing address
3515 SE Willoughby Blvd
Stuart, FL 34994-5059
Phone (772) 283-3800
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D2305900 | Dr Jessica Taub Podiatry DPM LLC | Compliance | Oct 1, 2026 |
National Provider Directory
National Provider Directory- Tax ID family
- Dr Jessica Taub Podiatry DPM LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Foot & Ankle Surgery Podiatrist
- Stuart, FL
- NPI 1285248286
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Podiatrist
- Stuart, FL
- NPI 1598115636
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1717977600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1717977600000",
"number": "1841032836",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3515 SE WILLOUGHBY BLVD",
"city": "STUART",
"state": "FL",
"postal_code": "349945059",
"telephone_number": "772-283-3800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1331 SE PORT ST LUCIE BLVD STE 101",
"city": "PORT SAINT LUCIE",
"state": "FL",
"postal_code": "349525331",
"telephone_number": "772-283-3800"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DR JESSICA TAUB PODIATRY DPM LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-06-10",
"last_updated": "2024-06-10",
"certification_date": "2024-06-10",
"status": "A",
"authorized_official_last_name": "TAUB",
"authorized_official_first_name": "JESSICA",
"authorized_official_middle_name": "EMILY",
"authorized_official_title_or_position": "AOUTORIZED OFFICIAL",
"authorized_official_telephone_number": "216-402-3827",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Port Saint Lucie, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.