Active NPI
Carrie Cathleen Dennett, MPH, RDN
- Registered Dietitian
- Klamath Falls, OR
National Provider Identifier
1326462318
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- LD-D-10196596
- Practice address
- 758 W Oregon Ave
Klamath Falls, OR 97601-1943 - Phone
- (206) 601-8537
- NPI assigned
- Feb 11, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 60452579 | WA | |
| Registered Dietitian | 133V00000X | LD-D-10196596 | OR | Primary |
Addresses
Primary practice location
758 W Oregon Ave
Klamath Falls, OR 97601-1943
Mailing address
PO Box 1311
Klamath Falls, OR 97601-0072
Phone (206) 601-8537
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Apr 1, 2025 through Apr 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LD-D-10196596 | OR | MD | Registered Dietitian |
| 60452579 | WA | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nutrition by Carrie | Dietitian, Registered | Current | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1392076800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1679184000000",
"number": "1326462318",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1311",
"city": "KLAMATH FALLS",
"state": "OR",
"postal_code": "976010072",
"telephone_number": "206-601-8537"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "758 W OREGON AVE",
"city": "KLAMATH FALLS",
"state": "OR",
"postal_code": "976011943",
"telephone_number": "206-601-8537"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DENNETT",
"first_name": "CARRIE",
"middle_name": "CATHLEEN",
"name_prefix": "Ms.",
"credential": "MPH, RDN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-02-11",
"last_updated": "2023-03-19",
"certification_date": "2023-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "WA",
"license": "60452579",
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "OR",
"license": "LD-D-10196596",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Klamath Falls, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.