Individual provider Active NPI

Nicole Morgan, MS RDN LD CDE

  • Registered Dietitian
  • Ashland, OR
National Provider Identifier
1467692343
Registry record updated Jan 4, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
670 Issued in OR
Practice address
1480 Oregon St
Ashland, OR 97520-3461
Phone
(541) 601-3045
Fax
(844) 400-1768
NPI assigned
Mar 4, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 4, 2017

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 670 OR Primary

Addresses

Primary practice location

1480 Oregon St
Ashland, OR 97520-3461

Mailing address

1480 Oregon St
Ashland, OR 97520-3461
Phone (541) 601-3045

Other names 1

  • Nicole Morgan Hanks Former 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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
670ORMDRegistered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1236124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483488000000",
    "number": "1467692343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1480 OREGON ST",
            "city": "ASHLAND",
            "state": "OR",
            "postal_code": "975203461",
            "telephone_number": "541-601-3045",
            "fax_number": "844-400-1768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1480 OREGON ST",
            "city": "ASHLAND",
            "state": "OR",
            "postal_code": "975203461",
            "telephone_number": "541-601-3045",
            "fax_number": "844-400-1768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORGAN",
        "first_name": "NICOLE",
        "name_prefix": "Ms.",
        "credential": "MS RDN LD CDE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-03-04",
        "last_updated": "2017-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "OR",
            "license": "670",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "HANKS",
            "middle_name": "MORGAN",
            "credential": "RDN, MS, LD, CDE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Ashland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2017; 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.