Individual provider Active NPI

Carrie Jean Robinson-Loughran, RD,LD

  • Metabolic Nutrition Registered Dietitian
  • Astoria, OR
National Provider Identifier
1508901976
Registry record updated Jan 4, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Metabolic Nutrition Registered DietitianTaxonomy code 133VN1006X
License
404 Issued in OR
Practice address
100 Madison Ave
Astoria, OR 97103-5027
Phone
(971) 645-8377
Fax
(503) 650-5063
NPI assigned
Feb 21, 2007
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
Metabolic Nutrition Registered Dietitian 133VN1006X 404 OR Primary

Addresses

Primary practice location

100 Madison Ave
Astoria, OR 97103-5027

Mailing address

100 Madison Ave
Astoria, OR 97103-5027
Phone (971) 645-8377

Other identifiers 1

IdentifierTypeStateIssuer
402196269AMedicaidOR

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

State licenses

LicenseStateTypeSpecialty
404ORMDMetabolic Nutrition Registered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483488000000",
    "number": "1508901976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MADISON AVE",
            "city": "ASTORIA",
            "state": "OR",
            "postal_code": "971035027",
            "telephone_number": "971-645-8377",
            "fax_number": "503-650-5063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MADISON AVE",
            "city": "ASTORIA",
            "state": "OR",
            "postal_code": "971035027",
            "telephone_number": "971-645-8377",
            "fax_number": "503-650-5063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBINSON-LOUGHRAN",
        "first_name": "CARRIE",
        "middle_name": "JEAN",
        "name_prefix": "Ms.",
        "credential": "RD,LD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-21",
        "last_updated": "2017-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133VN1006X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Metabolic",
            "state": "OR",
            "license": "404",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "402196269A",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Astoria, 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.