Active NPI
Kendra Swartz, RD
- Registered Dietitian
- Portland, OR
National Provider Identifier
1447508700
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 923997
- Practice address
- 7807 N Denver Ave
Portland, OR 97217-6503 - Phone
- (609) 235-8191
- NPI assigned
- Aug 16, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gerontological Nutrition Registered Dietitian | 133VN1101X | 923997 | OR | |
| Registered Dietitian | 133V00000X | 923997 | OR | Primary |
Addresses
Primary practice location
7807 N Denver Ave
Portland, OR 97217-6503
Mailing address
7807 N Denver Ave
Portland, OR 97217-6503
Phone (609) 235-8191
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 |
|---|---|---|---|
| 923997 | OR | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1345075200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1595462400000",
"number": "1447508700",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7807 N DENVER AVE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972176503",
"telephone_number": "609-235-8191"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7807 N DENVER AVE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972176503",
"telephone_number": "609-235-8191"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SWARTZ",
"first_name": "KENDRA",
"credential": "RD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-08-16",
"last_updated": "2020-07-23",
"certification_date": "2020-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "133VN1101X",
"taxonomy_group": "",
"desc": "Dietitian, Registered, Nutrition, Gerontological",
"state": "OR",
"license": "923997",
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "OR",
"license": "923997",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Jul 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.