Active NPI
Amanda Michele Hinojosa, RD
- Registered Dietitian
- Gresham, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- LD-D-10194333
- Practice address
- 440 NW Division St
Gresham, OR 97030-5506 - Phone
- (503) 215-9500
- NPI assigned
- Sep 10, 2019
- 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-10194333 | OR | Primary |
Addresses
Primary practice location
440 NW Division St
Gresham, OR 97030-5506
Mailing address
PO Box 3158
Portland, OR 97208-3158
Phone (503) 215-6494
Other practice location 1
342 Fairview St
Silverton, OR 97381-1917
Phone (503) 873-1619
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Registered Dietitian Or Nutrition Professional
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
440 NW Division St
Gresham, OR 97030-5506
Phone (503) 215-9500
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Providence Health & Services Oregon | Current | Accepting new patients | |
| Providence Health & Services Oregon | Current | Accepting new patients | |
| Providence Health & Services - Oregon | Current | Accepting new patients | |
| Providence Health & Services - Oregon | Current | Accepting new patients |
Locations
9290 SE Sunnybrook Blvd
Ste 210
Clackamas, OR 97015
Phone (503) 216-7960
440 NW Division St
Gresham, OR 97030
Phone (503) 215-9500
4004 Kruse Way Pl
Ste 300
Lake Oswego, OR 97035
Phone (503) 216-1500
5050 NE Hoyt St
Ste 454
Portland, OR 97213
Phone (503) 215-6405
1321 NE 99th Ave
Ste 200
Portland, OR 97220
Phone (503) 215-4250
5050 NE Hoyt St
Ste 240
Portland, OR 97213
Phone (503) 215-6480
Organizations & group practices 4
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.
-
- General Practice Physician
- Lake Oswego, OR
- NPI 1023488343
-
- Family Medicine Physician
- Gresham, OR
- NPI 1053419218
-
- Family Medicine Physician
- Tigard, OR
- NPI 1841452521
-
- Psychiatry Physician
- Portland, OR
- NPI 1760177737
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1568073600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686268800000",
"number": "1285283358",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3158",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972083158",
"telephone_number": "503-215-6494"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "440 NW DIVISION ST",
"city": "GRESHAM",
"state": "OR",
"postal_code": "970305506",
"telephone_number": "503-215-9500"
}
],
"practiceLocations": [
{
"address_1": "342 Fairview St",
"address_purpose": "LOCATION",
"city": "Silverton",
"state": "OR",
"postal_code": "973811917",
"country_code": "US",
"telephone_number": "503-873-1619",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HINOJOSA",
"first_name": "AMANDA",
"middle_name": "MICHELE",
"credential": "RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-09-10",
"last_updated": "2023-06-09",
"certification_date": "2023-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "OR",
"license": "LD-D-10194333",
"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 Jun 9, 2023; 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.