TARA JOHN RDN
NPI 1356193692
Dietitian, Registered in Phoenix, AZ

Q: What is Tara John's NPI number?

The NPI number for Tara John is 1356193692. It was assigned to this individual provider in the NPPES registry on April 2, 2024.

Q: What is Tara John'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 John was last updated on June 28, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.

Active since April 02, 2024Accepts Medicare Assignment

4041 N CENTRAL AVE BLDG C, PHOENIX, AZ 85012(480) 289-8438 Get Directions Write a Review

NPPES record last updated: June 28, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 28, 2024, Apr 2, 2024 (2 updates tracked since 2024).

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About Tara John Rdn NPPES

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

TARA JOHN RDN (NPI 1356193692) is an individual dietitian, registered in Phoenix, Arizona, licensed in Arizona (85115469) and active in the NPI registry since April 2024. She is a graduate of Other (2020).

NPPES Registry Identity

NPI1356193692

Entity TypeIndividualFemale

Primary Taxonomy133V00000X

Provider Legal NameTARA JOHNCredential: RDN

Location Address4041 N CENTRAL AVE BLDG CPhoenix, AZ 85012-3313

Mailing Address4844 E La Puente AvePhoenix, AZ 85044-1730 · (480) 289-8438

Phone(480) 289-8438

Sole ProprietorNo

Medical School CMSOtherGraduated 2020

Enumeration DateApril 2, 2024

Last NPPES UpdateJune 28, 20242 updates tracked since enumeration

NPPES CertifiedJune 28, 2024

✔ NPI 1356193692 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 AZ · 85115469

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.

4041 N CENTRAL AVE BLDG C, Phoenix, AZ 85012

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Tara John Rdn is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4082055181

PECOS Enrollment IDI20240507002033

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85012 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$0.00 typical visit price

range $55.44 – $168.60

Typical copayment $0.00 (range $13.86 – $42.15)

Most-billed visit code NA

Established Patient

$98.00 typical visit price

range $17.72 – $137.41

Typical copayment $24.50 (range $4.43 – $34.35)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

JASMINE SAMUEL FNP

Nurse Practitioner (Family)