NPIMap

Organization Active NPI

Alavita Perinatal Nutrition Associates, LLC

  • Registered Dietitian
  • Portland, OR
National Provider Identifier
1003399858
Registry record updated Sep 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
10159622 Issued in OR
Legal business name
ALAVITA PERINATAL NUTRITION ASSOCIATES, LLC
Practice address
106 SW Woods St Ste a
Portland, OR 97201-4739
Phone
(503) 407-2549
NPI assigned
Sep 7, 2018
Last updated
Sep 7, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Anna Bohnengel, RDNPI 1427464551
Title
Owner, Registered Dietitian
Phone
(503) 407-2549

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 10159622 OR Primary

Addresses

Primary practice location

106 SW Woods St Ste a
Portland, OR 97201-4739

Mailing address

4611 N Kerby Ave
Portland, OR 97217-3043

National Provider Directory

National Provider Directory

Locations

106 SW Woods St
Ste A
Portland, OR 97201
Phone (406) 210-4890

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1536278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1536278400000",
    "number": "1003399858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4611 N KERBY AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972173043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 SW WOODS ST STE A",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972014739",
            "telephone_number": "503-407-2549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALAVITA PERINATAL NUTRITION ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-07",
        "last_updated": "2018-09-07",
        "status": "A",
        "authorized_official_last_name": "BOHNENGEL",
        "authorized_official_first_name": "ANNA",
        "authorized_official_title_or_position": "OWNER, REGISTERED DIETITIAN",
        "authorized_official_telephone_number": "503-407-2549",
        "authorized_official_credential": "RD"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "OR",
            "license": "10159622",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.