Cherry City Nutrition

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

LD-D-10144657 Issued in OR

Legal business name

CHERRY CITY NUTRITION

Practice address

780 Commercial St SE Ste 305
Salem, OR 97301-3455

Phone

(971) 273-8668

NPI assigned

Aug 15, 2018

Organization subpart

No

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

Authorized official

Name

Jessica Elizabeth Short, RDNPI 1285895375

Title

Sole Proprietor

Phone

(971) 273-8668

Specialties & licenses 1

Addresses

Other identifiers 2

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jessica E. Short, RD

  • Registered Dietitian
  • Vernal, UT
  • NPI 1285895375

  Dietitian, Registered

  NPD (past) Authorized official

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

{
    "created_epoch": "1534291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534291200000",
    "number": "1366922734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5113 CHERRY HOLLOW LN S",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973029634",
            "telephone_number": "971-273-8668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "780 COMMERCIAL ST SE STE 305",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973013455",
            "telephone_number": "971-273-8668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHERRY CITY NUTRITION",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-15",
        "last_updated": "2018-08-15",
        "status": "A",
        "authorized_official_last_name": "SHORT",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "SOLE PROPRIETOR",
        "authorized_official_telephone_number": "971-273-8668",
        "authorized_official_credential": "RD"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": "OR",
            "license": "LD-D-10144657",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMISSION ON DIETETIC REGISTRATION",
            "identifier": "962738",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF OREGON",
            "identifier": "LD-D-10144657",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Poly Chen, M.D.
• Yanwen Chen, DMD
• Zixin Chen, DDS
• Kirstin Cheney
• Nathaniel Cheney
• Cherry Hills Neuropsychology LLC
• Cheryl Benedetto, LLC
• Korben J Chesnut-Petry, CADC 1
• Jeffrey Chevalier
• Sarah Chicharro, NP

• Registered Dietitian in Salem, OR
• Providers in Salem, OR by specialty
• Registered Dietitian in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2018; 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.