Compass Nutrition, LLC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

587 Issued in OR

Legal business name

COMPASS NUTRITION, LLC

Practice address

1290 Fenwick Avenue
Coos Bay, OR 97420

Phone

(541) 905-2567

Fax

(541) 393-2981

NPI assigned

Feb 22, 2012

Organization subpart

No

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

Authorized official

Name

Jackie Lynn Brown, MS RD CSG LD

Title

Registered Dietitian

Phone

(541) 905-2567

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1329868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329868800000",
    "number": "1104199116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1290 FENWICK AVENUE",
            "city": "COOS BAY",
            "state": "OR",
            "postal_code": "97420",
            "telephone_number": "541-905-2567",
            "fax_number": "541-393-2981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1290 FENWICK AVENUE",
            "city": "COOS BAY",
            "state": "OR",
            "postal_code": "97420",
            "telephone_number": "541-905-2567",
            "fax_number": "541-393-2981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPASS NUTRITION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-22",
        "last_updated": "2012-02-22",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "JACKIE",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "REGISTERED DIETITIAN",
        "authorized_official_telephone_number": "541-905-2567",
        "authorized_official_credential": "MS RD CSG LD"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": "OR",
            "license": "587",
            "primary": true
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": "888970",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Drew Anthony Collins, LMT
• Columbiacare Services
• Columbiacare Services
• Karina Combes, DNP,ARNP,PMHNP-BC
• Michelle Combs
• Confederated Tribes of Coos, Lower Umpqua & Siuslaw Indians
• Confederated Tribes of Coos, Lower Umpqua, & Siuslaw Indians
• Bret Alan Cook, MD
• Tyler Dawn Cooper, PMHNP
• Coos Bay of Cascadia, LLC

• Registered Dietitian in Coos Bay, OR
• Providers in Coos Bay, OR by specialty
• Registered Dietitian in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2012; 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.