Active NPI
Lauren Elizabeth Sawyer, RD
- Registered Dietitian
- Portland, OR
National Provider Identifier
1255083168
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- LD-D-10246185
- Practice address
- 12360 E Burnside St
Portland, OR 97233-1042 - Phone
- (971) 279-4800
- Fax
- (971) 279-2051
- NPI assigned
- Jan 21, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | LD-D-10246185 | OR | Primary |
| Registered Dietitian | 133V00000X | DIET.DI.61256205 | WA |
Addresses
Primary practice location
12360 E Burnside St
Portland, OR 97233-1042
Mailing address
1776 SW Madison St
Portland, OR 97205-1715
Phone (503) 224-1044
Other practice location 1
703 NE Hancock St
Portland, OR 97212-3955
Phone (503) 230-9875
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220128001835 | WA | Practitioner - Registered Dietitian Or Nutrition Professional | 0749672533 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LD-D-10246185 | OR | MD | Registered Dietitian |
| DIET.DI.61256205 | WA | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Seattle Indian Health Board | Current | Accepting new patients | |
| Seattle Indian Health Board | Current | Accepting new patients | |
| Native American Rehabilitation Assoc Inc | Past | Accepting new patients |
Locations
124 2nd Ave S
Seattle, WA 98104
Phone (206) 292-6214
611 12th Ave S
Seattle, WA 98144
Phone (206) 324-9360
Organizations & group practices 3
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.
-
- Federally Qualified Health Center (FQHC)
- Seattle, WA
- NPI 1922673367
-
- Federally Qualified Health Center (FQHC)
- Portland, OR
- NPI 1336274372
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1642723200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724371200000",
"number": "1255083168",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1776 SW MADISON ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972051715",
"telephone_number": "503-224-1044",
"fax_number": "503-621-2235"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12360 E BURNSIDE ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972331042",
"telephone_number": "971-279-4800",
"fax_number": "971-279-2051"
}
],
"practiceLocations": [
{
"address_1": "703 NE Hancock St",
"address_purpose": "LOCATION",
"city": "Portland",
"state": "OR",
"postal_code": "972123955",
"country_code": "US",
"telephone_number": "503-230-9875",
"fax_number": "503-331-3441",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SAWYER",
"first_name": "LAUREN",
"middle_name": "ELIZABETH",
"credential": "RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-01-21",
"last_updated": "2024-08-23",
"certification_date": "2024-08-23",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "OR",
"license": "LD-D-10246185",
"primary": true
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "WA",
"license": "DIET.DI.61256205",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2024; 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.