Individual provider Active NPI

Cleo Alaia West, RD

  • Registered Dietitian
  • Beaverton, OR
National Provider Identifier
1487325445
Registry record updated Sep 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
LD-D-10217067 Issued in OR
Practice address
1700 NW 167TH PL Ste 230
Beaverton, OR 97006-4872
Phone
(800) 424-6589
NPI assigned
Sep 21, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 12, 2024

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 LD-D-10217067 OR Primary

Addresses

Primary practice location

1700 NW 167TH PL Ste 230
Beaverton, OR 97006-4872

Mailing address

6135 SE Heike St
Hillsboro, OR 97123-8237
Phone (646) 696-1096

Other practice location 1

300 N Graham St Ste 250
Portland, OR 97227-1666
Phone (503) 280-3418

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230131000420 OR Practitioner - Registered Dietitian Or Nutrition Professional 7810368891 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LD-D-10217067ORMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatric Cardiology Center of Oregon PC CurrentSince Jan 1, 2023 Accepting new patients

Locations

300 N Graham St
Ste 250
Portland, OR 97227
Phone (503) 208-3418

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GIEBDD

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": "1632182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726099200000",
    "number": "1487325445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6135 SE HEIKE ST",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971238237",
            "telephone_number": "646-696-1096",
            "fax_number": "503-566-6067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 NW 167TH PL STE 230",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970064872",
            "telephone_number": "800-424-6589"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 N Graham St Ste 250",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972271666",
            "country_code": "US",
            "telephone_number": "503-280-3418",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEST",
        "first_name": "CLEO",
        "middle_name": "ALAIA",
        "credential": "RD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-21",
        "last_updated": "2024-09-12",
        "certification_date": "2024-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "OR",
            "license": "LD-D-10217067",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaverton, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.