Active NPI
Makena Whitaker, MS, RDN, LD
- Registered Dietitian
- Bend, OR
National Provider Identifier
1447763479
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 10186641
- Practice address
- 1253 NW Hartford Ave Unit 2
Bend, OR 97703-2488 - Phone
- (208) 640-3842
- NPI assigned
- Nov 13, 2017
- 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 | 10186641 | OR | Primary |
Addresses
Primary practice location
1253 NW Hartford Ave Unit 2
Bend, OR 97703-2488
Mailing address
1253 NW Hartford Ave
Bend, OR 97703-2488
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10186641 | OR | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Solera Consulting LLC | Dietitian, Registered | Current | Accepting new patients |
Organizations & group practices 1
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": "1510531200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1524009600000",
"number": "1447763479",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1253 NW HARTFORD AVE",
"city": "BEND",
"state": "OR",
"postal_code": "977032488"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1253 NW HARTFORD AVE UNIT 2",
"city": "BEND",
"state": "OR",
"postal_code": "977032488",
"telephone_number": "208-640-3842"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITAKER",
"first_name": "MAKENA",
"name_prefix": "Ms.",
"credential": "MS, RDN, LD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-11-13",
"last_updated": "2018-04-18",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "OR",
"license": "10186641",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bend, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.