Individual provider Active NPI

Corrin Kalinich, RDN

  • Registered Dietitian
  • Bend, OR
National Provider Identifier
1275200685
Registry record updated Nov 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
LD-D-10253750 Issued in OR
Practice address
369 NE Revere Ave Ste 105
Bend, OR 97701-4082
Phone
(541) 323-3788
Fax
(541) 323-3483
NPI assigned
Aug 24, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X
Registered Dietitian 133V00000X LD-D-10253750 OR Primary

Addresses

Primary practice location

369 NE Revere Ave Ste 105
Bend, OR 97701-4082

Mailing address

369 NE Revere Ave Ste 105
Bend, OR 97701-4082
Phone (541) 323-3788

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250618003320 OR Practitioner - Registered Dietitian Or Nutrition Professional 1355852013 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Oregon Health Sciences University School of Medicine, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Randee Anshutz Nutrition and Massage TherapyGroup PAC ID 2769785609, 6 clinicians

Practice addresses (Care Compare)

369 NE Revere Ave
Suite 105
Bend, OR 97701-4082
Phone (541) 323-3488

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LD-D-10253750ORMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Randee Anshutz Nutrition and Massage Therapy CurrentSince Jun 1, 2025 Accepting new patients

Locations

369 NE Revere Ave
Ste 105
Bend, OR 97701
Phone (541) 323-3488

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": "1629763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764115200000",
    "number": "1275200685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "369 NE REVERE AVE STE 105",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977014082",
            "telephone_number": "541-323-3788",
            "fax_number": "541-323-3483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "369 NE REVERE AVE STE 105",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977014082",
            "telephone_number": "541-323-3788",
            "fax_number": "541-323-3483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALINICH",
        "first_name": "CORRIN",
        "credential": "RDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-24",
        "last_updated": "2025-11-26",
        "certification_date": "2025-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "OR",
            "license": "LD-D-10253750",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bend, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2025; 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.