Individual provider Active NPI

Jamie Skiles, RD, LD

  • Registered Dietitian
  • Eugene, OR
National Provider Identifier
1255625331
Registry record updated Jun 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
1051 Issued in OR
Practice address
2650 Suzanne Way
Suite 160
Eugene, OR 97408-7319
Phone
(541) 228-3008
Fax
(541) 228-3180
NPI assigned
Jun 6, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 1051 OR Primary

Addresses

Primary practice location

2650 Suzanne Way
Suite 160
Eugene, OR 97408-7319

Mailing address

2650 Suzanne Way
Suite 160
Eugene, OR 97408-7319
Phone (541) 228-3008

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
1051ORMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Bloom Health and Wellness Promotion Dietitian, Registered Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1307318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1307318400000",
    "number": "1255625331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2650 SUZANNE WAY",
            "address_2": "SUITE 160",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974087319",
            "telephone_number": "541-228-3008",
            "fax_number": "541-228-3180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2650 SUZANNE WAY",
            "address_2": "SUITE 160",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974087319",
            "telephone_number": "541-228-3008",
            "fax_number": "541-228-3180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKILES",
        "first_name": "JAMIE",
        "credential": "RD, LD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-06",
        "last_updated": "2011-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "OR",
            "license": "1051",
            "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 Jun 6, 2011; 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.