Active NPI
Jane Sayner
- Registered Dietitian
- Gresham, OR
National Provider Identifier
1285039974
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- LD-D-10164761
- Practice address
- 24800 SE Stark St
Gresham, OR 97030-3378 - Phone
- (503) 457-8565
- NPI assigned
- Oct 24, 2014
- Last updated
- May 5, 2016
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | LD-D-10164761 | OR | Primary |
Addresses
Primary practice location
24800 SE Stark St
Gresham, OR 97030-3378
Mailing address
206 NE 126TH Ave
Apt L134
Vancouver, WA 98684-0858
Phone (503) 457-8565
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LD-D-10164761 | OR | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1414108800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1462406400000",
"number": "1285039974",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "206 NE 126TH AVE",
"address_2": "APT L134",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986840858",
"telephone_number": "503-457-8565"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24800 SE STARK ST",
"city": "GRESHAM",
"state": "OR",
"postal_code": "970303378",
"telephone_number": "503-457-8565"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAYNER",
"first_name": "JANE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-10-24",
"last_updated": "2016-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "OR",
"license": "LD-D-10164761",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gresham, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.