Active NPI
Carrie Lambourne, MS, RDN, CNSC
- Registered Dietitian
- Medford, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- D-10246051
- Practice address
- 70 Bower Dr
Medford, OR 97501-3689 - Phone
- (541) 734-3430
- NPI assigned
- Jan 7, 2025
- Last updated
- Jan 7, 2025
- 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 | D-10246051 | OR | Primary |
Addresses
Primary practice location
70 Bower Dr
Medford, OR 97501-3689
Mailing address
16 Geneva St
Medford, OR 97504-7110
Phone (775) 870-2251
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Registered Dietitian Or Nutrition Professional
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
70 Bower Dr
Medford, OR 97501-3689
Phone (541) 732-8300
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D-10246051 | OR | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Nutrition LLC | Dietitian, Registered | Current | Accepting new patients |
| Providence Health & Services Oregon | Current | Accepting new patients | |
| Providence Health & Services Oregon | Current | Accepting new patients | |
| Providence Health & Services - Oregon | Current | Accepting new patients |
Locations
70 Bower Dr
Medford, OR 97501
Phone (541) 732-8300
843 E Main St
Ste 303
Medford, OR 97504
Phone (541) 937-9273
940 Royal Ave
Unit 350
Medford, OR 97504
Phone (541) 732-7460
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Providence Medical Group South
- Family Medicine Physician
- Medford, OR
- NPI 1568547503
-
dba Providence Medical Group South
- Clinic/Center
- Phoenix, OR
- NPI 1992882500
-
dba PMG South General Surgery
- Hospitalist Physician
- Medford, OR
- NPI 1093894511
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1736208000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736208000000",
"number": "1437969094",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16 GENEVA ST",
"city": "MEDFORD",
"state": "OR",
"postal_code": "975047110",
"telephone_number": "775-870-2251"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "70 BOWER DR",
"city": "MEDFORD",
"state": "OR",
"postal_code": "975013689",
"telephone_number": "541-734-3430"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAMBOURNE",
"first_name": "CARRIE",
"credential": "MS, RDN, CNSC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-01-07",
"last_updated": "2025-01-07",
"certification_date": "2025-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "OR",
"license": "D-10246051",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Medford, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2025; 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.