STACIA MCCAHAN RD,LD/N
NPI 1831639624
Dietitian, Registered in Jacksonville Beach, FL

Active since February 28, 2017Opted out of Medicare · through Jul 1, 2027
2380 3RD ST S, SUITE #1, JACKSONVILLE BEACH, FL 32250(904) 270-1234 Get Directions Write a Review

NPPES record last updated: February 3, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 3, 2022, Feb 28, 2017 (2 updates tracked since 2017).

About Stacia Mccahan Rd,ld/n NPPES

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

STACIA MCCAHAN RD,LD/N (NPI 1831639624) is an individual dietitian, registered in Jacksonville Beach, Florida, licensed in Florida (ND 8075) and active in the NPI registry since February 2017. She has opted out of Medicare through July 1, 2027 and maintains a secondary practice location in Jacksonville.

NPPES Registry Identity

NPI1831639624
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameSTACIA MCCAHANCredential: RD,LD/N
Location Address2380 3RD ST S, SUITE #1Jacksonville Beach, FL 32250-4072
Mailing Address2380 3rd St S, Suite #1Jacksonville Beach, FL 32250-4072 · (904) 270-1234
Sole ProprietorNo
Enumeration DateFebruary 28, 2017
Last NPPES UpdateFebruary 3, 20222 updates tracked since enumeration
NPPES CertifiedFebruary 3, 2022
NPI 1831639624 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
License Licensed in FL · ND 8075
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.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License IMH21568 (FL)
2380 3RD ST S, Jacksonville Beach, FL 32250

Secondary Practice Location 1

Location 112058 San Jose Blvd Ste 602Jacksonville, FL 32223-8668 · Phone (904) 799-7949

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Stacia Mccahan Rd,ld/n has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from July 1, 2025 through July 1, 2027.

Opt-Out Effective DateJuly 1, 2025
Opt-Out In Effect ThroughJuly 1, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 13

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

Clinic/Center (Mental Health (Including Community Mental Health Center))
2380 3RD ST S, SUITE 1
JACKSONVILLE BEACH, FL 32250
Counselor (Mental Health)
2380 3RD ST S, SUITE 2
JACKSONVILLE BEACH, FL 32250
Nurse Practitioner (Primary Care)
2380 3RD ST S
JACKSONVILLE BEACH, FL 32250
Counselor (Mental Health)
2380 3RD ST S, SUITE 2
JACKSONVILLE BEACH, FL 32250
Dietitian, Registered
2380 3RD ST S
JACKSONVILLE BEACH, FL 32250
Marriage & Family Therapist
2380 3RD ST S, SUITE 2
JACKSONVILLE BEACH, FL 32250
Marriage & Family Therapist
2380 3RD ST S, SUITE 2
JACKSONVILLE BEACH, FL 32250
Social Worker (Clinical)
2380 3RD ST S, SUITE 2
JACKSONVILLE BEACH, FL 32250

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 Stacia Mccahan's NPI number?

The NPI number for Stacia Mccahan is 1831639624. It was assigned to this individual provider in the NPPES registry on February 28, 2017.

Where is Stacia Mccahan located?

Stacia Mccahan practices at 2380 3rd St S Suite #1, Jacksonville Beach, FL 32250. The listed phone number is (904) 270-1234.

What is Stacia Mccahan's specialty?

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

Is Stacia Mccahan enrolled in Medicare?

No. Stacia Mccahan has opted out of Medicare through July 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Stacia Mccahan accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Oscar Health Maintenance Organization of Florida and UnitedHealthcare list Stacia Mccahan 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 Stacia Mccahan was last updated on February 3, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.