Organization Active NPI

Regan Peterson, Rd, LD, Nutrition Consulting, LLC

  • Registered Dietitian
  • Eugene, OR
National Provider Identifier
1447834288
Registry record updated May 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Legal business name
REGAN PETERSON, RD, LD, NUTRITION CONSULTING, LLC
Practice address
296 E 5TH Ave Ste 324
Eugene, OR 97401-2771
Phone
(541) 556-5646
Fax
(440) 556-5642
NPI assigned
May 7, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2021

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

Authorized official

Name
Regan Peterson, RDNPI 1124215389
Title
Owner
Phone
(541) 556-5646

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 133V00000X Primary

Addresses

Primary practice location

296 E 5TH Ave Ste 324
Eugene, OR 97401-2771

Mailing address

PO Box 10222
Eugene, OR 97440-2222
Phone (541) 556-5646

National Provider Directory

National Provider Directory

Locations

296 E 5th Ave
Ste 324
Eugene, OR 97401
Phone (541) 556-5646

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1620345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620345600000",
    "number": "1447834288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10222",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974402222",
            "telephone_number": "541-556-5646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "296 E 5TH AVE STE 324",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974012771",
            "telephone_number": "541-556-5646",
            "fax_number": "440-556-5642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGAN PETERSON, RD, LD, NUTRITION CONSULTING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-07",
        "last_updated": "2021-05-07",
        "certification_date": "2021-05-07",
        "status": "A",
        "authorized_official_last_name": "PETERSON",
        "authorized_official_first_name": "REGAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-556-5646",
        "authorized_official_credential": "RD"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eugene, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2021; 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.