Taylor Wahl-Fabrega, RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

86297772 Issued in AZ

Practice address

1500 E Cedar Ave Ste 26
Flagstaff, AZ 86004-1642

Phone

(602) 717-2486

NPI assigned

Dec 12, 2022

Sex

Female

Sole proprietor

No

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

Enrolled in AZ

Enrollment records 1

Specialty

Registered Dietitian Or Nutrition Professional

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Native Americans for Community Action IncGroup PAC ID 5597740464, 11 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
• Direct secure messaging: wahl.taylor.p1@direct.nacainc.nextgenshare.com

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.

• Native Americans for Community Action, Inc

  • Federally Qualified Health Center (FQHC)
  • Flagstaff, AZ
  • NPI 1053326751
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1670803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754006400000",
    "number": "1912618778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 E CEDAR AVE STE 26",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860041642",
            "telephone_number": "928-773-1245",
            "fax_number": "928-773-9429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 E CEDAR AVE STE 26",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860041642",
            "telephone_number": "602-717-2486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAHL-FABREGA",
        "first_name": "TAYLOR",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-12",
        "last_updated": "2025-08-01",
        "certification_date": "2025-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "AZ",
            "license": "86297772",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Katherine Wade, MD
• Wadhams Apothecary Inc
• Barbara J Wagar, RPH
• Garth Wagenman, PT
• Stephanie Wagner, M.S. CCC-SLP
• Samantha Wahl, LMSW
• Benjamin Wakefield, DPT, PT
• Walgreen Co (Walgreens #15206)
• Walgreen Co (Walgreens #05221)
• Sherry Walka, FNP-C

• Registered Dietitian in Flagstaff, AZ
• Providers in Flagstaff, AZ by specialty
• Registered Dietitian in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.