Organization Active NPI

Dr Jessica Taub Podiatry DPM LLC

  • Podiatrist
  • Port Saint Lucie, FL
National Provider Identifier
1841032836
Registry record updated Jun 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
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, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2024

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

Authorized official

Name
Jessica Emily Taub, DPMNPI 1598115636
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)CodeLicenseStatePrimary
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 NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2305900Dr Jessica Taub Podiatry DPM LLC1331 SE Port Saint Lucie Blvd, Port Saint Lucie, FL 34952ComplianceOct 1, 2026

National Provider Directory

National Provider Directory
Tax ID family
Dr Jessica Taub Podiatry DPM LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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.

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.

Verify at the official NPI Registry.