Jody A Tabura, RDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

852757 Issued in CA

Practice address

413 Twilight St
Vacaville, CA 95688-8818

Phone

(707) 980-3774

NPI assigned

Jun 16, 2021

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1623801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623801600000",
    "number": "1851969885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "413 TWILIGHT ST",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "956888818",
            "telephone_number": "707-980-3774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "413 TWILIGHT ST",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "956888818",
            "telephone_number": "707-980-3774"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "97 Dobbins St Ste C",
            "address_purpose": "LOCATION",
            "city": "Vacaville",
            "state": "CA",
            "postal_code": "956882700",
            "country_code": "US",
            "telephone_number": "707-980-3774",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "413 Twilight St",
            "address_purpose": "LOCATION",
            "city": "Vacaville",
            "state": "CA",
            "postal_code": "956888818",
            "country_code": "US",
            "telephone_number": "707-980-3773",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TABURA",
        "first_name": "JODY",
        "middle_name": "A",
        "credential": "RDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-16",
        "last_updated": "2021-06-16",
        "certification_date": "2021-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "CA",
            "license": "852757",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Phoebe Marie P Taasan, OTR/L
• Tabije Dental Corp.
• Katrina V Tabije, DMD
• Martin Miguel Vergel de Dios Tabije, DMD
• Romeo Diaz Tabije, D.M.D.
• Richard Olen Taggart, DDS
• Jacqueline C Taillant
• Ishaan Talwar, DDS
• Tam Chiropractic Centers, Inc.
• Alex Tam, D.C.

• Registered Dietitian in Vacaville, CA
• Providers in Vacaville, CA by specialty
• Registered Dietitian in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.