Individual provider Active NPI

Lizette Marie Dubay Courtney, RDN, LD

  • Registered Dietitian
  • Keizer, OR
National Provider Identifier
1528335809
Registry record updated Apr 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
LD-D-001008 Issued in OR
Practice address
3795 River Rd N Ste D
Keizer, OR 97303-4826
Phone
(503) 457-4923
Fax
(503) 376-6714
NPI assigned
Nov 30, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 28, 2022

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-001008 OR Primary

Addresses

Primary practice location

3795 River Rd N Ste D
Keizer, OR 97303-4826

Mailing address

PO Box 284
Hubbard, OR 97032-0284
Phone (503) 457-4923

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
LD-D-001008ORMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Damzil Nutrition Counseling, LLC Dietitian, Registered CurrentSince May 1, 2022 Accepting new patients

Locations

4575 River Rd N
Keizer, OR 97303
Phone (503) 393-2651

3795 River Rd N
Ste D
Keizer, OR 97303
Phone (503) 457-4923

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": "1322611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651104000000",
    "number": "1528335809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 284",
            "city": "HUBBARD",
            "state": "OR",
            "postal_code": "970320284",
            "telephone_number": "503-457-4923",
            "fax_number": "503-376-6714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3795 RIVER RD N STE D",
            "city": "KEIZER",
            "state": "OR",
            "postal_code": "973034826",
            "telephone_number": "503-457-4923",
            "fax_number": "503-376-6714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUBAY COURTNEY",
        "first_name": "LIZETTE",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "RDN, LD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-11-30",
        "last_updated": "2022-04-28",
        "certification_date": "2022-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "OR",
            "license": "LD-D-001008",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Keizer, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2022; 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.