Active NPI
Danika G Ofelt, RD
- Registered Dietitian
- Corvallis, OR
National Provider Identifier
1346570280
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- DI60116670
- Practice address
- 922 NW Circle Blvd Ste 160-219
Corvallis, OR 97330-1483 - Phone
- (541) 243-3665
- Fax
- (541) 224-5277
- NPI assigned
- Dec 27, 2009
- 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 | DI60116670 | WA | Primary |
Addresses
Primary practice location
922 NW Circle Blvd Ste 160-219
Corvallis, OR 97330-1483
Mailing address
922 NW Circle Blvd Ste 160-219
Corvallis, OR 97330-1483
Phone (541) 243-3665
Other practice location 1
4742 42nd Ave SW
#223
Seattle, WA 98116
Phone (206) 714-6906
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 500778042 | Medicaid | OR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DI60116670 | WA | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Creating Nutrition, LLC | Dietitian, Registered | Current | Accepting new patients |
Locations
922 NW Circle Blvd
Ste 160219
Corvallis, OR 97330
Phone (541) 243-3665
2852 Willamette St
Eugene, OR 97405
Phone (541) 255-9061
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": "1261872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1608595200000",
"number": "1346570280",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "922 NW CIRCLE BLVD STE 160-219",
"city": "CORVALLIS",
"state": "OR",
"postal_code": "973301483",
"telephone_number": "541-243-3665",
"fax_number": "541-224-5277"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "922 NW CIRCLE BLVD STE 160-219",
"city": "CORVALLIS",
"state": "OR",
"postal_code": "973301483",
"telephone_number": "541-243-3665",
"fax_number": "541-224-5277"
}
],
"practiceLocations": [
{
"address_1": "4742 42nd Ave SW",
"address_2": "#223",
"address_purpose": "LOCATION",
"city": "Seattle",
"state": "WA",
"postal_code": "98116",
"country_code": "US",
"telephone_number": "206-714-6906",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "OFELT",
"first_name": "DANIKA",
"middle_name": "G",
"credential": "RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-12-27",
"last_updated": "2020-12-22",
"certification_date": "2020-12-22",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "WA",
"license": "DI60116670",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "500778042",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Corvallis, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.