En la Mesa Nutrition LLC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Legal business name

EN LA MESA NUTRITION LLC

Practice address

1120 SE Madison St
Portland, OR 97214-3618

Phone

(786) 600-7586

Fax

(786) 954-1856

NPI assigned

Jun 27, 2024

Last updated

Jun 27, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Diana Mesa, RDN, LDN, CDCESNPI 1922560796

Title

Owner

Phone

(786) 218-4310

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Diana Mesa, RDN, LDN

  • Registered Dietitian
  • Portland, OR
  • NPI 1922560796

  Dietitian, Registered

  NPD Authorized official

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

{
    "created_epoch": "1719446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719446400000",
    "number": "1609611086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "810 NE 149TH ST",
            "city": "NORTH MIAMI",
            "state": "FL",
            "postal_code": "331612349",
            "telephone_number": "786-218-4310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 SE MADISON ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972143618",
            "telephone_number": "786-600-7586",
            "fax_number": "786-954-1856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EN LA MESA NUTRITION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-27",
        "last_updated": "2024-06-27",
        "certification_date": "2024-06-27",
        "status": "A",
        "authorized_official_last_name": "MESA",
        "authorized_official_first_name": "DIANA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-218-4310",
        "authorized_official_credential": "RDN, LDN, CDCES"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Registered Dietitian in Portland, OR
• Providers in Portland, 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 27, 2024; 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.