Active NPI
Chelsea Lynn Jordan, RD, CDCES
- Obesity and Weight Management Nutrition Registered Dietitian
- Clackamas, OR
National Provider Identifier
1023655826
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obesity and Weight Management Nutrition Registered Dietitian
- License
- 10224556
- Practice address
- 10151 SE Sunnyside Rd Ste 100
Clackamas, OR 97015-5705 - Phone
- (503) 659-0880
- Fax
- (503) 513-7425
- NPI assigned
- Nov 30, 2019
- 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 |
|---|---|---|---|---|
| Obesity and Weight Management Nutrition Registered Dietitian | 133VN1201X | 1088854 | ||
| Obesity and Weight Management Nutrition Registered Dietitian | 133VN1201X | 10224556 | OR | Primary |
Addresses
Primary practice location
10151 SE Sunnyside Rd Ste 100
Clackamas, OR 97015-5705
Mailing address
3270 SW Pavilion Loop
Suite 140
Portland, OR 97239
Phone (503) 494-3273
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10224556 | OR | MD | Obesity and Weight Management Nutrition Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Portland Adventist Medical Center | Past | Accepting new patients | |
| Walla Walla General Hospital | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Family Medicine Physician
- Portland, OR
- NPI 1750091021
-
- Rural Health Clinic/Center
- Walla Walla, WA
- NPI 1992958771
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1575072000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1709078400000",
"number": "1023655826",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3270 SW PAVILION LOOP",
"address_2": "SUITE 140",
"city": "PORTLAND",
"state": "OR",
"postal_code": "97239",
"telephone_number": "503-494-3273"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10151 SE SUNNYSIDE RD STE 100",
"city": "CLACKAMAS",
"state": "OR",
"postal_code": "970155705",
"telephone_number": "503-659-0880",
"fax_number": "503-513-7425"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JORDAN",
"first_name": "CHELSEA",
"middle_name": "LYNN",
"credential": "RD, CDCES",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-11-30",
"last_updated": "2024-02-28",
"certification_date": "2024-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "133VN1201X",
"taxonomy_group": "",
"desc": "Dietitian, Registered, Nutrition, Obesity and Weight Management",
"state": null,
"license": "1088854",
"primary": false
},
{
"code": "133VN1201X",
"taxonomy_group": "",
"desc": "Dietitian, Registered, Nutrition, Obesity and Weight Management",
"state": "OR",
"license": "10224556",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clackamas, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.