Lynne Oldham, PHD, RD, CDE, CHES

Primary specialty

Pediatric Nutrition Registered DietitianTaxonomy code 133VN1004X

License

653 Issued in OR

Practice address

2036 NE Williamson CT
Bend, OR 97701-3771

Phone

(541) 706-6348

NPI assigned

Jul 6, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Specialty

Registered Dietitian Or Nutrition Professional

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

St Charles Health System IncGroup PAC ID 8729111513, 379 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: loldham23333@secure.stcharleshealthcare.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• St. Charles Health System, Inc.

  dba St. Charles Medical Group

  • Family Medicine Physician
  • Bend, OR
  • NPI 1023331303
  Medicare reassignment Care Compare group NPD
• Optimal Balance

  • Registered Dietitian
  • Bend, OR
  • NPI 1225100332
  NPD (past) Authorized official
• St. Charles Health System, Inc.

  dba The Center at St. Charles Medical Equipment

  • Specialist
  • Bend, OR
  • NPI 1700697935
  NPD
• St. Charles Health System, Inc.

  dba St. Charles Medical Supply - Redmond

  • Oxygen Equipment & Supplies (DME)
  • Redmond, OR
  • NPI 1427140870
  NPD (past)

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667433600000",
    "number": "1235161928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2676 NW PICKETT CT",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977016807",
            "telephone_number": "541-598-4179",
            "fax_number": "541-388-9261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2036 NE WILLIAMSON CT",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977013771",
            "telephone_number": "541-706-6348"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2676 NW Pickett Ct",
            "address_purpose": "LOCATION",
            "city": "Bend",
            "state": "OR",
            "postal_code": "977016807",
            "country_code": "US",
            "telephone_number": "541-598-4179",
            "fax_number": "541-388-9261",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OLDHAM",
        "first_name": "LYNNE",
        "credential": "PHD, RD, CDE, CHES",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-06",
        "last_updated": "2022-11-03",
        "certification_date": "2022-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133VN1004X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Pediatric",
            "state": "OR",
            "license": "653",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "loldham23333@secure.stcharleshealthcare.org",
            "affiliation": "N",
            "address_1": "2036 NE Williamson Ct",
            "city": "Bend",
            "state": "OR",
            "country_code": "US",
            "postal_code": "977013771",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Ohana Harmony House, LLC (Bend Transitional Care)
• Kathleen Anne Ohara, M.S.P.T.
• Tara Lynn Okeeffe, RPH
• Abby Rose Okoniewski
• Kaitlyn Oldham
• Audrey Oliger, MD
• Jennifer Jayne Olin-Harris, MSCPS, QMHP
• Melissa Rene Olin, FNP, RN
• Michael Wayne Olin, D.M.D.
• Jill M Olinger, MD

• Pediatric Nutrition Registered Dietitian in Bend, OR
• Providers in Bend, OR by specialty
• Pediatric Nutrition Registered Dietitian in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.