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

Q: 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.

Q: What is Tad Taggart'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 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 4 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 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: August 23, 2026.

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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. He is a graduate of Other (2020).

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

Medical School CMSOtherGraduated 2020

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, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

PECOS PAC ID8224545314

PECOS Enrollment IDI20250724001707

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.

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 4 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.