Active NPI
Victoria Stave, R.D.
- Registered Dietitian
- Eugene, OR
National Provider Identifier
1477581114
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 550
- Practice address
- 1200 Hilyard St
Suite 550
Eugene, OR 97401-8122 - Phone
- (541) 686-7029
- NPI assigned
- Jun 30, 2006
- 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 | 550 | OR | Primary |
Addresses
Primary practice location
1200 Hilyard St
Suite 550
Eugene, OR 97401-8122
Mailing address
PO Box 24410
Eugene, OR 97402-0451
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100234 | Medicaid | OR |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 550 | OR | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151625600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1309824000000",
"number": "1477581114",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 24410",
"city": "EUGENE",
"state": "OR",
"postal_code": "974020451"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 HILYARD ST",
"address_2": "SUITE 550",
"city": "EUGENE",
"state": "OR",
"postal_code": "974018122",
"telephone_number": "541-686-7029"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STAVE",
"first_name": "VICTORIA",
"credential": "R.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-30",
"last_updated": "2011-07-05",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "OR",
"license": "550",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100234",
"state": "OR"
}
],
"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 Jul 5, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.