Organization Active NPI

Creating Nutrition, LLC

  • Registered Dietitian
  • Eugene, OR
National Provider Identifier
1144827528
Registry record updated Jan 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
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

Updated by the provider on Jan 23, 2025

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)CodeLicenseStatePrimary
Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 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

Enrollment IDStateProvider typePAC IDDetails
O20250130000106 OR Part B Supplier - Clinic/Group Practice 6002345469 Receives reassigned benefits from 1 practitioner
Practice locations: Eugene, OR

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.