Advanced Nutrition LLC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Legal business name

ADVANCED NUTRITION LLC

Practice address

843 E Main St Ste 303
Medford, OR 97504-7137

Phone

(458) 299-6858

Fax

(541) 972-8826

NPI assigned

Jun 20, 2025

Organization subpart

No

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

Authorized official

Name

Carrie Ann Lambourne, RDNNPI 1437969094

Title

Owner/Registered Dietitian

Phone

(775) 870-2251

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Carrie Lambourne, MS, RDN, CNSC

  • Registered Dietitian
  • Medford, OR
  • NPI 1437969094

  Dietitian, Registered

  NPD Authorized official

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

{
    "created_epoch": "1750377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764806400000",
    "number": "1063309359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 GENEVA ST",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975047110",
            "telephone_number": "775-870-2251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "843 E MAIN ST STE 303",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975047137",
            "telephone_number": "458-299-6858",
            "fax_number": "541-972-8826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED NUTRITION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-20",
        "last_updated": "2025-12-04",
        "certification_date": "2025-12-04",
        "status": "A",
        "authorized_official_last_name": "LAMBOURNE",
        "authorized_official_first_name": "CARRIE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER/REGISTERED DIETITIAN",
        "authorized_official_telephone_number": "775-870-2251",
        "authorized_official_credential": "RDN"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2025; 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.