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Active NPI 1134433618 Individual Practitioner Female Practitioner

Tara L. Spisak , RD, LD, CDE

Dietitian, Registered • Archbold, OH

Professional Overview & Biography Verified Profile Summary

Tara Spisak, RD, LD, CDE is a registered healthcare professional specializing in Dietitian, Registered in Archbold, OH. Practice services are available at 121 WESTFIELD DR STE 1 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

121 Westfield Dr Ste 1

Archbold, OH 435021005

Telephone 4194452015
Fax 4194458102
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dietitian, Registered in Archbold, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 15.9 Yrs
Regional Practice Density
3 Specialists

Practicing in Archbold, OH (2603 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2026-06-29
Dietitian, Registered Primary Specialty

NUCC Taxonomy Code: 133V00000X

State License OH LD.4906

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

13 Associated Practitioners
Andrea Miller , RD, LD

Dietitian, Registered

NPI 1063796365

Registered Dietitian, Licensed Dietitian

Michele Nafziger , RD, LD

Dietitian, Registered

NPI 1134385214

Registered Dietitian, Licensed Dietitian

Dr. Eric Lehman , MD

Family Medicine

NPI 1164464046

Doctor of Medicine (M.D.)

NPI 1396781233

Doctor of Medicine (M.D.)

Tamara Martin

Nurse Practitioner

NPI 1477000248
Dr. Ronald Music , MD

Family Medicine

NPI 1508870502

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location June 29, 2026

Registered at 121 WESTFIELD DR STE 1, ARCHBOLD, OH 435021005 (Tel: 4194452015)

📍
Updated Business Mailing Address June 29, 2026

Registered at 11109 PARKVIEW PLAZA DR # 117, FORT WAYNE, IN 468451701

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 29, 2026

Dietitian, Registered (License #LD.4906 in OH)

NPI Profile Active July 27, 2010

NPI status registered as active in NPPES database

📍
Updated Practice Location July 27, 2010

Registered at 433 W HIGH ST, BRYAN, OH 435061690 (Tel: 4196302167)

📍
Updated Business Mailing Address July 27, 2010

Registered at 433 W HIGH ST, BRYAN, OH 435061690 (Tel: 4196302167)

👤
Provider Name / Credentials Updated July 27, 2010

Recorded as TARA SPISAK, RD, LD, CDE

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 27, 2010

Dietitian, Registered (License #L4906 in OH)

🟢
Initial NPI Registration & Enumeration July 27, 2010

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1134433618
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 27, 2010
Last Update: June 29, 2026
Sole Proprietor: No

Mailing Address

11109 Parkview Plaza Dr # 117

Fort Wayne, IN 468451701

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.