Individual provider Active NPI

Carrie Lambourne, MS, RDN, CNSC

  • Registered Dietitian
  • Medford, OR
National Provider Identifier
1437969094
Registry record updated Jan 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
D-10246051 Issued in OR
Practice address
70 Bower Dr
Medford, OR 97501-3689
Phone
(541) 734-3430
NPI assigned
Jan 7, 2025
Last updated
Jan 7, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2025

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 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

Enrollment IDStateProvider typePAC IDDetails
I20250115002869 OR Practitioner - Registered Dietitian Or Nutrition Professional 3577091735 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
D-10246051ORMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Nutrition LLC Dietitian, Registered CurrentSince Jun 23, 2025 Accepting new patients
Providence Health & Services Oregon CurrentSince Jan 1, 2025 Accepting new patients
Providence Health & Services Oregon Current Accepting new patients
Providence Health & Services - Oregon CurrentSince Jan 1, 2025 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.

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.

Verify at the official NPI Registry.