PHARA JOURDAN TAYLOR (MS RD LDN) – Registered Dietitian, NPI 1740342799
Registered Dietitian
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
355 REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL in FL
Provider Addresses for PHARA JOURDAN TAYLOR (MS RD LDN)
402 NW LYNDHURST CT
PORT ST LUCIE, FL 349833440
Phone: (772) 878-8227
Fax: (772) 324-7863
Type: Mailing
10570 S US HIGHWAY 1
PORT SAINT LUCIE, FL 349525606
Phone: (772) 878-8227
Fax: (772) 324-7863
Type: Location
US Highway 1, Port Saint Lucie, Saint Lucie County, Florida, 34952, United States
PORT ST LUCIE, FL 349521443
Phone: (772) 878-8227
Fax: (772) 324-7863
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
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Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2012-02-15
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20120215000837 | I | Registered Dietitian Or Nutrition Professional | FL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 97802 | Therapy procedure for nutrition management, each 15 minutes | 118 | 17 | $0 |
Insurance plans in this area (ZIP 34983)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| REGISTERED DIETITIAN OR NUTRITION P | FL | 97802 | Medical nutrition therapy, assessment and intervention, each 15 minutes | 212 | 34 |
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