Active NPI
Jill Oxley Souto-Maior, R.D., L.D.
- Registered Dietitian
- Bend, OR
National Provider Identifier
1437480027
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 876
- Practice address
- 2500 NE Neff Rd
Bend, OR 97701-6015 - Phone
- (541) 706-7796
- NPI assigned
- Jan 20, 2010
- Last updated
- Jan 20, 2010
- 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 | 876 | OR | Primary |
Addresses
Primary practice location
2500 NE Neff Rd
Bend, OR 97701-6015
Mailing address
2500 NE Neff Rd
Bend, OR 97701-6015
Phone (541) 706-7796
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 876 | OR | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1263945600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1263945600000",
"number": "1437480027",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2500 NE NEFF RD",
"city": "BEND",
"state": "OR",
"postal_code": "977016015",
"telephone_number": "541-706-7796"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2500 NE NEFF RD",
"city": "BEND",
"state": "OR",
"postal_code": "977016015",
"telephone_number": "541-706-7796"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOUTO-MAIOR",
"first_name": "JILL",
"middle_name": "OXLEY",
"name_prefix": "Mrs.",
"credential": "R.D., L.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-01-20",
"last_updated": "2010-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "OR",
"license": "876",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bend, OR
- Cheryl Nelson Soronen, MD
- Melinda Beth Soules, L.C.S.W.
- Sound Pain Alliance (Summit Health Solutions)
- South Sound Inpatient Physicians PLLC (Sound Inpatient Physicians)
- Southside Physical Therapy, Inc.
- Josie Sova, COTA/L
- Katie Sox
- Holly Spaman, RN
- Jessica Ann Spanbauer-Bales
- Kelsey Marie Spanbauer, CPM, LDM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.