Individual provider Active NPI

Noelle Fein, MS,RDN,LD

  • Registered Dietitian
  • Gresham, OR
National Provider Identifier
1407581549
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
000665 Issued in OR
Practice address
23335 SE Stark St
Gresham, OR 97030-2923
Phone
(503) 465-0424
NPI assigned
Jul 21, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 000665 OR Primary

Addresses

Primary practice location

23335 SE Stark St
Gresham, OR 97030-2923

Mailing address

14100 Redwood CT
Lake Oswego, OR 97034-2153
Phone (503) 504-9264

Other identifiers 1

IdentifierTypeStateIssuer
881233OtherORCOMMISSION ON DIETITIAN REGISTRATION

Electronic endpoints 2

TypeEndpointUseAffiliation
FHIR URL https://nppes.cms.hhs.gov/IAWeb/register/startRegistration.do Direct
FHIR URL https://nppes.cms.hhs.gov/IAWeb/register/startRegistration.do Direct

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)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
000665ORMDRegistered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1658361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1407581549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14100 REDWOOD CT",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970342153",
            "telephone_number": "503-504-9264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23335 SE STARK ST",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970302923",
            "telephone_number": "503-465-0424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEIN",
        "first_name": "NOELLE",
        "credential": "MS,RDN,LD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-21",
        "last_updated": "2022-07-21",
        "certification_date": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "OR",
            "license": "000665",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMISSION ON DIETITIAN REGISTRATION",
            "identifier": "881233",
            "state": "OR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://nppes.cms.hhs.gov/IAWeb/register/startRegistration.do",
            "affiliation": "N",
            "endpointDescription": "Epic Kaiser Oregon",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "14100 Redwood Ct",
            "city": "Lake Oswego",
            "state": "OR",
            "country_code": "US",
            "postal_code": "970342153",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://nppes.cms.hhs.gov/IAWeb/register/startRegistration.do",
            "affiliation": "N",
            "endpointDescription": "Epic Kaiser Oregon",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "14100 Redwood Ct",
            "city": "Lake Oswego",
            "state": "OR",
            "country_code": "US",
            "postal_code": "970342153",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Gresham, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.