Active NPI
Genevieve Murstig
- Registered Dietitian
- Cottage Grove, OR
National Provider Identifier
1285245696
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Practice address
- 1515 Village Dr
Cottage Grove, OR 97424-9700 - Phone
- (541) 767-5311
- NPI assigned
- Aug 11, 2020
- 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 | Primary |
Addresses
Primary practice location
1515 Village Dr
Cottage Grove, OR 97424-9700
Mailing address
14956 Coquille CT
Oregon City, OR 97045-8049
Phone (503) 927-5354
Other practice location 1
7700 NE Parkway Dr Ste 300
Vancouver, WA 98662-6654
Phone (360) 735-7155
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230512001847 | OR | Practitioner - Registered Dietitian Or Nutrition Professional | 1850757048 |
Care Compare profile
Medicare Care Compare- Specialty
- Registered Dietitian Or Nutrition Professional
- Education
- Other, 2018
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
1115 SE 164TH Ave
Dept 358
Vancouver, WA 98683-8004
1115 SE 164TH Ave Dept
Suite 358
Vancouver, WA 98683-8004
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1597104000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1655942400000",
"number": "1285245696",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14956 COQUILLE CT",
"city": "OREGON CITY",
"state": "OR",
"postal_code": "970458049",
"telephone_number": "503-927-5354"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1515 VILLAGE DR",
"city": "COTTAGE GROVE",
"state": "OR",
"postal_code": "974249700",
"telephone_number": "541-767-5311"
}
],
"practiceLocations": [
{
"address_1": "7700 NE Parkway Dr Ste 300",
"address_purpose": "LOCATION",
"city": "Vancouver",
"state": "WA",
"postal_code": "986626654",
"country_code": "US",
"telephone_number": "360-735-7155",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MURSTIG",
"first_name": "GENEVIEVE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-08-11",
"last_updated": "2022-06-23",
"certification_date": "2022-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cottage Grove, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2022; 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.