Individual provider Active NPI

Kristin Anne Behrends Brody, RD

  • Registered Dietitian
  • Eugene, OR
National Provider Identifier
1497448138
Registry record updated May 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Practice address
296 E 5TH Ave Ste 324
Eugene, OR 97401-2771
Phone
(541) 556-5646
Fax
(440) 556-5642
NPI assigned
May 30, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 30, 2023

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 OR Primary

Addresses

Primary practice location

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

Mailing address

304 Dartmoor Dr
Eugene, OR 97401-5728
Phone (541) 729-2429

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

Practice roles

OrganizationSpecialtyStatusNew patients
Regan Peterson, Rd, LD, Nutrition Consulting, LLC Dietitian, Registered CurrentSince Jun 4, 2023 Accepting new patients

Locations

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

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": "1685404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685404800000",
    "number": "1497448138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 DARTMOOR DR",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974015728",
            "telephone_number": "541-729-2429"
        },
        {
            "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": {
        "last_name": "BRODY",
        "first_name": "KRISTIN",
        "middle_name": "ANNE BEHRENDS",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-30",
        "last_updated": "2023-05-30",
        "certification_date": "2023-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "OR",
            "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 30, 2023; 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.