Active NPI
Creating Nutrition, LLC
- Registered Dietitian
- Eugene, OR
National Provider Identifier
1144827528
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Legal business name
- CREATING NUTRITION, LLC
- Practice address
- 2714 Madison Street
Eugene, OR 97405-8200 - Phone
- (541) 243-3665
- Fax
- (541) 224-5277
- NPI assigned
- Oct 8, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Colin Macdonald
- Title
- Co-Owner
- Phone
- (541) 243-3665
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | Primary |
Addresses
Primary practice location
2714 Madison Street
Eugene, OR 97405-8200
Mailing address
2852 Willamette Street
Ste 359
Eugene, OR 97405-8200
Phone (541) 243-3665
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
922 NW Circle Blvd
Ste 160219
Corvallis, OR 97330
Phone (541) 243-3665
120 SW 4th St
Ste 150
Corvallis, OR 97333
Phone (678) 378-0777
2852 Willamette St
Eugene, OR 97405
Phone (541) 255-9061
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1602115200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1737590400000",
"number": "1144827528",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2852 WILLAMETTE STREET",
"address_2": "STE 359",
"city": "EUGENE",
"state": "OR",
"postal_code": "974058200",
"telephone_number": "541-243-3665",
"fax_number": "541-224-5277"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2714 MADISON STREET",
"city": "EUGENE",
"state": "OR",
"postal_code": "974058200",
"telephone_number": "541-243-3665",
"fax_number": "541-224-5277"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CREATING NUTRITION, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-10-08",
"last_updated": "2025-01-23",
"certification_date": "2025-01-23",
"status": "A",
"authorized_official_last_name": "MACDONALD",
"authorized_official_first_name": "COLIN",
"authorized_official_title_or_position": "CO-OWNER",
"authorized_official_telephone_number": "541-243-3665"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Eugene, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.