Tara Young PHD Rd Nutrition Consultant LLC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Legal business name

TARA YOUNG PHD RD NUTRITION CONSULTANT LLC

Practice address

1326 SE 16TH Ave
Canby, OR 97013-6370

Phone

(240) 444-2962

NPI assigned

Jul 25, 2024

Last updated

Jul 13, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Tara Young, PHD RDNPI 1730917246

Title

Registered Dietitian

Phone

(240) 444-2962

Specialties & licenses 1

Addresses

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.

• Tara Young, PHD, RD

  • Registered Dietitian
  • Canby, OR
  • NPI 1730917246

  Dietitian, Registered

  NPD Authorized official

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

{
    "created_epoch": "1721865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752364800000",
    "number": "1881422301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1326 SE 16TH AVE",
            "city": "CANBY",
            "state": "OR",
            "postal_code": "970136370",
            "telephone_number": "240-444-2962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1326 SE 16TH AVE",
            "city": "CANBY",
            "state": "OR",
            "postal_code": "970136370",
            "telephone_number": "240-444-2962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TARA YOUNG PHD RD NUTRITION CONSULTANT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-25",
        "last_updated": "2025-07-13",
        "certification_date": "2025-07-13",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "TARA",
        "authorized_official_title_or_position": "REGISTERED DIETITIAN",
        "authorized_official_telephone_number": "240-444-2962",
        "authorized_official_credential": "PHD RD"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Registered Dietitian in Canby, OR
• Providers in Canby, OR by specialty
• Registered Dietitian in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2025; 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.