NPIMap

Individual provider Active NPI

Julia Anne Hanfling, RD, CDE

  • Registered Dietitian
  • Portland, OR
National Provider Identifier
1447212329
Registry record updated Mar 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
10208672 Issued in OR
Practice address
2800 N Vancouver Ave
Legacy Emanuel Diabetes Clinic, Suite 231
Portland, OR 97227-1630
Phone
(503) 413-2750
Fax
(503) 413-2735
NPI assigned
Apr 5, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 460 OR
Registered Dietitian 133V00000X 10208672 OR Primary

Addresses

Primary practice location

2800 N Vancouver Ave
Legacy Emanuel Diabetes Clinic, Suite 231
Portland, OR 97227-1630

Mailing address

2229 SE Market St
Portland, OR 97214-4866
Phone (503) 413-2750

Other identifiers 1

IdentifierTypeStateIssuer
N/AMedicaidOR

Other names 1

  • Julia Anne Hanfling Other name

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
10208672ORMDRegistered Dietitian
460ORMDNaturopath

Practice roles

OrganizationSpecialtyStatusNew patients
3 Peaches Nutrition Dietitian, Registered Past Accepting new patients
Legacy Good Samaritan Hospital and Medical Center Past Accepting new patients
Legacy Good Samaritan Hospital and Medical Center Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1144195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679443200000",
    "number": "1447212329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2229 SE MARKET ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972144866",
            "telephone_number": "503-413-2750",
            "fax_number": "503-413-2735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 N VANCOUVER AVE",
            "address_2": "LEGACY EMANUEL DIABETES CLINIC, SUITE 231",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972271630",
            "telephone_number": "503-413-2750",
            "fax_number": "503-413-2735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANFLING",
        "first_name": "JULIA",
        "middle_name": "ANNE",
        "name_prefix": "Mr.",
        "credential": "RD, CDE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-05",
        "last_updated": "2023-03-22",
        "certification_date": "2023-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "OR",
            "license": "460",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "OR",
            "license": "10208672",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "N/A",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JULIA",
            "last_name": "HANFLING",
            "middle_name": "ANNE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2023; 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.