TARA L. SPISAK RD, LD, CDE - NPI 1134433618 - Dietitian, Registered in Archbold, OH

Q: What is Tara Spisak's NPI number?

The NPI number for Tara Spisak is 1134433618. It was assigned to this individual provider in the NPPES registry on July 27, 2010.

Q: What is Tara Spisak's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Q: When was this NPI record last updated?

The NPPES record for Tara Spisak was last updated on June 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 36 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

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About Tara L. Spisak Rd, Ld, Cde NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TARA L. SPISAK RD, LD, CDE (NPI 1134433618) is an individual dietitian, registered in Archbold, Ohio, licensed in Ohio (LD.4906) and active in the NPI registry since July 2010.

NPPES Registry Identity

NPI1134433618

Entity TypeIndividualFemale

Primary Taxonomy133V00000X

Provider Legal NameTARA L. SPISAKCredential: RD, LD, CDE

Location Address121 WESTFIELD DR STE 1Archbold, OH 43502-1005

Mailing Address11109 Parkview Plaza Dr # 117Fort Wayne, IN 46845-1701

Phone(419) 445-2015

Fax(419) 445-8102

Sole ProprietorNo

Enumeration DateJuly 27, 2010

Last NPPES UpdateJune 29, 2026

NPPES CertifiedJune 29, 2026

✔ NPI 1134433618 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers

Taxonomy Code133V00000X

License✔ Licensed in OH · LD.4906

Definition

A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.

121 WESTFIELD DR STE 1, Archbold, OH 43502

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Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. ANDREA MARIE MILLER R.D., L.D.

Dietitian, Registered