Individual provider Active NPI

Mikena Ruth, MS, RDN

  • Registered Dietitian
  • Echo, OR
National Provider Identifier
1275439531
Registry record updated Oct 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
10274715 Issued in OR
Practice address
200 S Bonanza St
Echo, OR 97826-9073
Phone
(541) 310-9058
NPI assigned
Oct 14, 2026
Last updated
Oct 14, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2026

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 10274715 OR Primary

Addresses

Primary practice location

200 S Bonanza St
Echo, OR 97826-9073

Mailing address

4218 SW Broadlane Ave
Pendleton, OR 97801-4229
Phone (541) 310-9058

Other practice location 1

4218 SW Broadlane Ave
Pendleton, OR 97801-4229
Phone (541) 310-9058

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

NPI Registry JSON

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

{
    "created_epoch": "1791936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791936000000",
    "number": "1275439531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4218 SW BROADLANE AVE",
            "city": "PENDLETON",
            "state": "OR",
            "postal_code": "978014229",
            "telephone_number": "541-310-9058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 S BONANZA ST",
            "city": "ECHO",
            "state": "OR",
            "postal_code": "978269073",
            "telephone_number": "541-310-9058"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4218 SW Broadlane Ave",
            "address_purpose": "LOCATION",
            "city": "Pendleton",
            "state": "OR",
            "postal_code": "978014229",
            "country_code": "US",
            "telephone_number": "541-310-9058",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUTH",
        "first_name": "MIKENA",
        "credential": "MS, RDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-10-14",
        "last_updated": "2026-10-14",
        "certification_date": "2026-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "OR",
            "license": "10274715",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Echo, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2026; 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.