Active NPI
Kami Hamilton, RD, LD
- Registered Dietitian
- Tualatin, OR
National Provider Identifier
1013401389
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- LD-D-000659
- Practice address
- 6475 SW Borland Rd Ste F
Tualatin, OR 97062-9708 - Phone
- (503) 692-7617
- NPI assigned
- Jun 19, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Educator | 174H00000X | |||
| Registered Dietitian | 133V00000X | LD-D-000659 | OR | Primary |
Addresses
Primary practice location
6475 SW Borland Rd Ste F
Tualatin, OR 97062-9708
Mailing address
1040 NW 22ND Ave Ste 520
Portland, OR 97210-3097
Phone (503) 413-7557
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| LD-D-000569 | Other | OR | LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LD-D-000659 | OR | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Legacy Good Samaritan Hospital and Medical Center | Past | Accepting new patients | |
| Legacy Meridian Park Hospital | Past | Accepting new patients | |
| Legacy Meridian Park Hospital | Past | Accepting new patients |
Networks
- devoted network organization-83621310-88c0-4660-8f8d-b8ea8f4dc04e
- WA PPO C-SNP
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Psychiatric Hospital Unit
- Portland, OR
- NPI 1336162874
-
- Hospitalist Physician
- Tualatin, OR
- NPI 1023305034
-
- General Acute Care Hospital
- Tualatin, OR
- NPI 1184647620
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1529366400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1555891200000",
"number": "1013401389",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1040 NW 22ND AVE STE 520",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972103097",
"telephone_number": "503-413-7557",
"fax_number": "503-413-6547"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6475 SW BORLAND RD STE F",
"city": "TUALATIN",
"state": "OR",
"postal_code": "970629708",
"telephone_number": "503-692-7617"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAMILTON",
"first_name": "KAMI",
"credential": "RD, LD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-06-19",
"last_updated": "2019-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "174H00000X",
"taxonomy_group": "",
"desc": "Health Educator",
"state": null,
"license": null,
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "OR",
"license": "LD-D-000659",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "LD-D-000569",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tualatin, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.