STACIA MCCAHAN


Address: 2380 3rd St S, Suite #1, Jacksonville Beach, FL 32250-4072
Phone: 9042701234

STACIA MCCAHAN (NPI# 1831639624) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1831639624
Entity Type Individual
Full Name STACIA MCCAHAN
Credential RD,LD/N
Practice Address 2380 3rd St S
Suite #1
Jacksonville Beach
FL 32250-4072
Practice Telephone 9042701234
Mailing Telephone 9042701234
Enumeration Date 2017-02-28
Last Update Date 2017-02-28
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 133V00000X Dietitian, Registered ND 8075 FL Dietary & Nutritional Service Providers

Office Location

Street Address 2380 3RD ST S
SUITE #1
City JACKSONVILLE BEACH
State FL
Zip Code 32250-4072

Providers in the same location

NPI Name Taxonomy Address Enumeration
1093172454 Stephanie S Billman, Lpc, PC Counselor 2380 3rd St S, Suite 2, Jacksonville Beach, FL 32250-4072 2016-01-15
1598137994 Mindfulness Counseling Center of Jacksonville Clinic/Center 2380 3rd St S, Suite 2, Jacksonville Beach, FL 32250-4072 2015-10-24
1871978361 Annelie Mccrorie Welch, Lcsw, Bcb, LLC Social Worker 2380 3rd St S, Suite 2, Jacksonville Beach, FL 32250-4072 2015-07-25
1679965230 Beaches Counseling & Therapy Marriage & Family Therapist 2380 3rd St S, Suite 2, Jacksonville Beach, FL 32250-4072 2015-02-19
1518389774 Katherine Mae Efstration Winham Marriage & Family Therapist 2380 3rd St S, Suite 2, Jacksonville Beach, FL 32250-4072 2014-01-07
1578836128 Annelie Mccrorie Welch Social Worker 2380 3rd St S, Suite 2, Jacksonville Beach, FL 32250-4023 2012-02-13
1053681205 Beaded Star Recovery,llc Dietitian, Registered 2380 3rd St S, Suite 1, Jacksonville Beach, FL 32250-4023 2012-01-05
1467631366 Christie Suzanne Castner Marriage & Family Therapist 2380 3rd St S, Suite 2, Jacksonville Beach, FL 32250-4072 2007-10-26
1346463221 Preferred Nutrition Services, LLC Dietitian, Registered 2380 3rd St S, Jacksonville Beach, FL 32250-4072 2007-04-10
1265569065 Mitzy K Neel Counselor 2380 3rd St S, Suite 2, Jacksonville Beach, FL 32250-4072 2007-02-27
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1386129591 Kelsey Ilene Keimig Audiologist 3200 S 3rd Street, Ste 101, Jacksonville, FL 32250 2018-10-03
1225529696 Turning Tides Eating Disorder Treatment Center, LLC. Clinic/Center 4300 Marsh Landings Blvd. #101, Jacksonville Beach, FL 32250 2018-05-22
1528578820 Dianne Frances Gay Dental Hygienist 1144 14th Street North, Jacksonville Beach, FL 32250 2017-10-02
1801324280 Kailo Nutrition Dietitian, Registered 353 B 6th Street South, Jacksonville, FL 32250 2017-05-30
1275985368 Shankeertha Sundaralingam Dentist 3316 3rd St S Ste 101, Jacksonville Beach, FL 32250 2016-07-13
1851777494 Brooke Worthington Davidson Audiologist 1370 13th Ave S Ste 115, Jacksonville Beach, FL 32250 2015-08-05
1689059115 Jenna Levine Speech-Language Pathologist 779 10th Avenue South, Jacksonville Beach, FL 32250 2015-07-27
1790176824 Olivia Ingram Caswell Acupuncturist 2902 Isabella Boulevard, Suite 50, Jacksonville Beach, FL 32250 2015-02-11
1467859033 Colleen Freeman Physical Therapist 1537 Penman Rd, Jacksonville, FL 32250 2014-11-26
1356750012 Madelyn Jones Physical Therapist 1320 Roberts Drive, Jacksonville Beach, FL 32250 2014-08-07
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Taxonomy Information

Taxonomy Code 133V00000X
Grouping Dietary & Nutritional Service Providers
Classification Dietitian, Registered

Taxonomy Definition

A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration.
Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1962973552 Eleanor Baker Dietitian, Registered 823 14th Ave S, Jacksonville Beach, FL 32250-4125 2018-12-08
1821504093 Shape Up Nutrition LLC Dietitian, Registered 4300 S Beach Pkwy Apt 3208, Jacksonville Beach, FL 32250-8181 2017-12-23
1013334283 Lindsey Guthrie Dietitian, Registered 2380 3rd St S Ste 1, Jacksonville Beach, FL 32250-8039 2014-03-25
1083953889 Chelsey Millstone Dasher Dietitian, Registered 3935 Poinciana Blvd, Jacksonville Beach, FL 32250-3032 2013-02-14
1871675710 Marilyn Kay Dahl Dietitian, Registered 2380 3rd St S Ste 2, Jacksonville Beach, FL 32250-8038 2006-10-19
1467495242 Millicent Tanner Dietitian, Registered 340 16th Ave N, Jacksonville Beach, FL 32250-4819 2006-06-13
1538647961 Johanna Coutinho Vogt Dietitian, Registered 2380 3rd St S Ste 1, Jacksonville Beach, FL 32250-8039 2018-07-28
1609315076 Shelley Chancey Dietitian, Registered 2380 3rd St S Ste 1, Jacksonville Beach, FL 32250-8039 2017-02-18
1235581000 Carla Marie Defuria Dietitian, Registered 4300 S Beach Pkwy, Apt. 3208, Jacksonville Beach, FL 32250-8173 2016-07-05
1053681205 Beaded Star Recovery,llc Dietitian, Registered 2380 3rd St S, Suite 1, Jacksonville Beach, FL 32250-4023 2012-01-05
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Competitor

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City JACKSONVILLE BEACH
Zip Code 32250

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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