Lori S. Brizee Pediatric Nutrition Consultation LLC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

LDD000706 Issued in OR

Legal business name

LORI S. BRIZEE PEDIATRIC NUTRITION CONSULTATION LLC

Practice address

516 SW 13TH St
Suite 101
Bend, OR 97702-3206

Phone

(541) 306-6801

Fax

(541) 312-4670

NPI assigned

Jun 10, 2014

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Lori S Brizee, RD, LD

Title

Registered Dietitian, Owner

Phone

(541) 306-6801

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Central Oregon Nutrition Consultants Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kelly Harrington, RDN

  • Registered Dietitian
  • Bend, OR
  • NPI 1295182079

  Dietitian, Registered

  NPD

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

{
    "created_epoch": "1402358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402358400000",
    "number": "1588077226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "61456 ELDER RIDGE ST",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977021193",
            "telephone_number": "541-788-2625",
            "fax_number": "541-312-4670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "516 SW 13TH ST",
            "address_2": "SUITE 101",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977023206",
            "telephone_number": "541-306-6801",
            "fax_number": "541-312-4670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LORI S. BRIZEE PEDIATRIC NUTRITION CONSULTATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-10",
        "last_updated": "2014-06-10",
        "status": "A",
        "authorized_official_last_name": "BRIZEE",
        "authorized_official_first_name": "LORI",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "REGISTERED DIETITIAN, OWNER",
        "authorized_official_telephone_number": "541-306-6801",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RD, LD"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": "OR",
            "license": "LDD000706",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "028359",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Central Oregon Nutrition Consultants",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alexandra Lopez, MC LPCA
• Geena Rae Lopez
• Jack Lopez, CADCII
• Melissa Joi Lopez
• Mercedes Lopez
• Lorraine Mary Winger, O.D.,P.C.
• Lotus Flower Physio LLC
• Diane Louise, LMFT
• Jessica Loukonen, RN
• Simone Lourens

• Registered Dietitian in Bend, OR
• Providers in Bend, OR by specialty
• Registered Dietitian in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2014; 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.