Vicki Lynn Duesterhoeft, MS, RDN, LD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

000799 Issued in OR

Practice address

2600 Center St NE
Salem, OR 97301-2669

Phone

(503) 945-9826

Fax

(503) 945-9864

NPI assigned

Aug 16, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1565913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565913600000",
    "number": "1063068831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17025 OAKDALE RD",
            "city": "DALLAS",
            "state": "OR",
            "postal_code": "973389646",
            "telephone_number": "503-623-3112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 CENTER ST NE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973012669",
            "telephone_number": "503-945-9826",
            "fax_number": "503-945-9864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUESTERHOEFT",
        "first_name": "VICKI",
        "middle_name": "LYNN",
        "credential": "MS, RDN, LD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-16",
        "last_updated": "2019-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "OR",
            "license": "000799",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OREGON HEALTH LICENSING BOARD OF LICENSED DIETITIANS",
            "identifier": "000799",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMISSION ON DIETETIC REGISTRATION",
            "identifier": "818835",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stacie Leah Drumm
• Charles Huanghong Du, MD
• Angela Dube
• Amanda Lena Dubois, DNP, FNP
• Timothy Steven Duenas, M.D.
• Connor Duff, DC
• Bruce W Duffy, D.O.
• John Travis Duffy, DMD
• Jeffrey Donald Dugan, QMHA
• Lorretta Ann Dukart, LPC

• Registered Dietitian in Salem, OR
• Providers in Salem, OR by specialty
• Registered Dietitian in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 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.

Verify at the official NPI Registry.