Lori Suzanne Brizee, RD

Primary specialty

Pediatric Nutrition Registered DietitianTaxonomy code 133VN1004X

License

760 Issued in OR

Practice address

516 SW 13TH St
Ste 101
Bend, OR 97702-3442

Phone

(541) 388-0694

NPI assigned

Jul 23, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Portland Pediatric Nutrition

  • Registered Dietitian
  • Portland, OR
  • NPI 1972012409

  Nutrition, Pediatric

  NPD (past)

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

{
    "created_epoch": "1153612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508284800000",
    "number": "1326069287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "516 SW13TH STREET STE 101",
            "city": "BEND",
            "state": "OR",
            "postal_code": "97702",
            "telephone_number": "541-306-6801",
            "fax_number": "541-312-4670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "516 SW 13TH ST",
            "address_2": "STE 101",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977023442",
            "telephone_number": "541-388-0694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRIZEE",
        "first_name": "LORI",
        "middle_name": "SUZANNE",
        "name_prefix": "Ms.",
        "credential": "RD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-23",
        "last_updated": "2017-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133VN1004X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Pediatric",
            "state": "OR",
            "license": "760",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8261778",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessy Lee Brinlee, LMT
• Shannon Melyn Brister, B.A.
• Bristol Hospice - Bend, L.L.C.
• Chrissy Britt
• Amy Elizabeth Brizee
• Kathleen L.S. Broadman, MD
• Maleea Brocious
• Amy Kathryn Brock
• Suzanne Lynn Brock
• Antoinette Brockman, O.T.

• Pediatric Nutrition Registered Dietitian in Bend, OR
• Providers in Bend, OR by specialty
• Pediatric Nutrition Registered Dietitian in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2017; 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.