Individual provider Active NPI

Karin Allumbaugh, NBC-HWC HEALTH COACH

  • Nutrition Education Nutritionist
  • Powell Butte, OR
National Provider Identifier
1588255293
Registry record updated Jan 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nutrition Education NutritionistTaxonomy code 133NN1002X
License
A-3273442 Issued in OR
Practice address
11151 SW Yates CT
Powell Butte, OR 97753-1574
Phone
(541) 604-5488
NPI assigned
Jan 27, 2021
Last updated
Jan 27, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 27, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nutrition Education Nutritionist 133NN1002X A-3273442 OR Primary

Addresses

Primary practice location

11151 SW Yates CT
Powell Butte, OR 97753-1574

Mailing address

11151 SW Yates CT
Powell Butte, OR 97753-1574
Phone (541) 604-5488

Other identifiers 1

IdentifierTypeStateIssuer
A-3273442OtherORNBHWC

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
A-3273442ORMDNutrition Education Nutritionist

NPI Registry JSON

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

{
    "created_epoch": "1611705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611705600000",
    "number": "1588255293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11151 SW YATES CT",
            "city": "POWELL BUTTE",
            "state": "OR",
            "postal_code": "977531574",
            "telephone_number": "541-604-5488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11151 SW YATES CT",
            "city": "POWELL BUTTE",
            "state": "OR",
            "postal_code": "977531574",
            "telephone_number": "541-604-5488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLUMBAUGH",
        "first_name": "KARIN",
        "credential": "NBC-HWC HEALTH COACH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-27",
        "last_updated": "2021-01-27",
        "certification_date": "2021-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133NN1002X",
            "taxonomy_group": "",
            "desc": "Nutritionist, Nutrition, Education",
            "state": "OR",
            "license": "A-3273442",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NBHWC",
            "identifier": "A-3273442",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Powell Butte, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2021; 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.