Individual provider Active NPI

Cary Ann Cuevas, RDN

  • Registered Dietitian
  • Clackamas, OR
National Provider Identifier
1396928776
Registry record updated Jan 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
993605 Issued in OR
Practice address
14210 SE Sunnyside Rd
Clackamas, OR 97015-5240
Phone
(503) 855-6171
NPI assigned
Dec 9, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 8, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 133V00000X LD-D-10198182 OR
Registered Dietitian 133V00000X 993605 OR Primary

Addresses

Primary practice location

14210 SE Sunnyside Rd
Clackamas, OR 97015-5240

Mailing address

7140 SE 112TH Ave
Portland, OR 97266-5030
Phone (971) 212-3432

Other practice location 1

7140 SE 112th Ave
Portland, OR 97266-5030
Phone (971) 212-3432

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL https://secure.gethealthie.com/users/sign_in?target_url=/users/2716403/private_notes Health Information Exchange (HIE)
CONNECT URL https://secure.gethealthie.com/users/sign_in?target_url=/users/2716403/private_notes Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
993605ORMDRegistered Dietitian
LD-D-10198182ORMDRegistered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1197158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704672000000",
    "number": "1396928776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7140 SE 112TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972665030",
            "telephone_number": "971-212-3432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14210 SE SUNNYSIDE RD",
            "city": "CLACKAMAS",
            "state": "OR",
            "postal_code": "970155240",
            "telephone_number": "503-855-6171"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7140 SE 112th Ave",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972665030",
            "country_code": "US",
            "telephone_number": "971-212-3432",
            "fax_number": "855-858-0465",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CUEVAS",
        "first_name": "CARY",
        "middle_name": "ANN",
        "credential": "RDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-12-09",
        "last_updated": "2024-01-08",
        "certification_date": "2024-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": "OR",
            "license": "LD-D-10198182",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "OR",
            "license": "993605",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://secure.gethealthie.com/users/sign_in?target_url=/users/2716403/private_notes",
            "affiliation": "N",
            "endpointDescription": "HIPPA approved Health Portal and electronic medical record",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "7140 SE 112th Ave",
            "city": "Portland",
            "state": "OR",
            "country_code": "US",
            "postal_code": "972665030",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://secure.gethealthie.com/users/sign_in?target_url=/users/2716403/private_notes",
            "affiliation": "N",
            "endpointDescription": "HIPPA approved Health Portal and electronic medical record",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "7140 SE 112th Ave",
            "city": "Portland",
            "state": "OR",
            "country_code": "US",
            "postal_code": "972665030",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Clackamas, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2024; 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.