Anastasia Kasianchuk, MS, RD, LD, CSSD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

LD-D-10164889 Issued in OR

Practice address

2955 NW Monterey Dr
Corvallis, OR 97330-3434

Phone

(541) 257-5091

NPI assigned

Aug 29, 2019

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 names 1

• Stasi Kasianchuk Other name

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in VA, MI2 enrollments

Enrollment records 2

Specialty

Registered Dietitian Or Nutrition Professional

Education

Other, 2011

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: anastasia.kasianchuk.1@26576.direct.athenahealth.com

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.

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

{
    "created_epoch": "1567036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567036800000",
    "number": "1396393757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2955 NW MONTEREY DR",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973303434",
            "telephone_number": "541-619-1437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2955 NW MONTEREY DR",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973303434",
            "telephone_number": "541-257-5091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KASIANCHUK",
        "first_name": "ANASTASIA",
        "credential": "MS, RD, LD, CSSD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-29",
        "last_updated": "2019-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": "OR",
            "license": "LD-D-10164889",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Kalix",
            "affiliation": "N",
            "endpointDescription": "HIPPA Compliant charting, billing, and scheduling software",
            "address_1": "2955 NW Monterey Dr",
            "city": "Corvallis",
            "state": "OR",
            "country_code": "US",
            "postal_code": "973303434",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://app.kalixhealth.com/clinicians/me",
            "affiliation": "N",
            "endpointDescription": "Using HIPAA compliant Kalix EHR software",
            "address_1": "2955 NW Monterey Dr",
            "city": "Corvallis",
            "state": "OR",
            "country_code": "US",
            "postal_code": "973303434",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "STASI",
            "last_name": "KASIANCHUK",
            "credential": "MS, RD, LD, CSSD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Registered Dietitian in Corvallis, OR
• Providers in Corvallis, 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 29, 2019; 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.

Verify at the official NPI Registry.