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TAD JACOB TAGGART RD, CD
NPI 1508535006
Dietitian, Registered in De Pere, WI

Active since September 08, 2021
1710 LAWRENCE DR STE 200, DE PERE, WI 54115(920) 570-6339 Get Directions Write a Review

NPPES record last updated: September 8, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Tad Jacob Taggart Rd, Cd NPPES

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

TAD JACOB TAGGART RD, CD (NPI 1508535006) is an individual dietitian, registered in De Pere, Wisconsin and active in the NPI registry since September 2021.

NPPES Registry Identity

NPI1508535006
Entity TypeIndividualMale
Primary Taxonomy133V00000X
Provider Legal NameTAD JACOB TAGGARTCredential: RD, CD
Location Address1710 LAWRENCE DR STE 200De Pere, WI 54115-9195
Mailing Address1657 Lenwood Ave Apt 7Green Bay, WI 54303-5397 · (920) 246-4886
Phone(920) 570-6339
Sole ProprietorNo
Enumeration DateSeptember 8, 2021
NPPES CertifiedSeptember 8, 2021
✔ NPI 1508535006 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
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.
1710 LAWRENCE DR STE 200, De Pere, WI 54115
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare).Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tad Jacob Taggart Rd, Cd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Tad Taggart reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Bellin Memorial Hospital Inc
0.2 mi
Family Medicine
1800 LAWRENCE DR
De Pere, WI 54115
  • Reassigned Medicare billing, Wisconsin enrollment
  • 875 clinicians in this Medicare group
NPI 1053374314 (920) 983-3220

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 4

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

CHRISTINA CODNER MSW, CAPSW
Social Worker
1710 LAWRENCE DR STE 200
DE PERE, WI 54115
Brown County (920) 570-6339
JEANINE MARIE ROUNDS
Counselor (Professional)
1710 LAWRENCE DR STE 200
DE PERE, WI 54115
Brown County (920) 570-6339
NICOLE DASYA NORCROSS MSW CAPSW
Social Worker (Clinical)
1710 LAWRENCE DR STE 200
DE PERE, WI 54115
Brown County (920) 364-9078
CALLIE ANNE LEBRUN RD, CD
Dietitian, Registered
1710 LAWRENCE DR STE 200
DE PERE, WI 54115
Brown County (920) 570-6339

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tad Taggart's NPI number?

The NPI number for Tad Taggart is 1508535006. It was assigned to this individual provider in the NPPES registry on September 8, 2021.

Where is Tad Taggart located?

Tad Taggart practices at 1710 Lawrence Dr Ste 200, De Pere, WI 54115. The listed phone number is (920) 570-6339.

What is Tad Taggart's specialty?

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

Is Tad Taggart enrolled in Medicare?

Yes. Tad Taggart is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Tad Taggart's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tad Taggart reassigns Medicare benefits to Bellin Memorial Hospital Inc (De Pere, WI). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Tad Taggart's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tad Taggart accept?

Health plans from Anthem Blue Cross and Blue Shield and CareSource (Common Ground Healthcare) list Tad Taggart as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Tad Taggart was last updated on September 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.