Individual provider Active NPI

Jody Louise Babson, R.D., C.D.E.

  • Registered Dietitian
  • Gresham, OR
National Provider Identifier
1669441382
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
327 Issued in OR
Practice address
24700 SE Stark St
Suite A8
Gresham, OR 97030-3377
Phone
(503) 674-1254
Fax
(503) 674-1267
NPI assigned
Mar 15, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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 327 OR Primary

Addresses

Primary practice location

24700 SE Stark St
Suite A8
Gresham, OR 97030-3377

Mailing address

24700 SE Stark St
Suite A8
Gresham, OR 97030-3377
Phone (503) 674-1254

Other identifiers 1

IdentifierTypeStateIssuer
N/AMedicaidOR

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
327ORMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Legacy Mount Hood Medical Center Past Accepting new patients
Legacy Good Samaritan Hospital and Medical Center Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1142380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1669441382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24700 SE STARK ST",
            "address_2": "SUITE A8",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970303377",
            "telephone_number": "503-674-1254",
            "fax_number": "503-674-1267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24700 SE STARK ST",
            "address_2": "SUITE A8",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970303377",
            "telephone_number": "503-674-1254",
            "fax_number": "503-674-1267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BABSON",
        "first_name": "JODY",
        "middle_name": "LOUISE",
        "name_prefix": "Mrs.",
        "credential": "R.D., C.D.E.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-15",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "OR",
            "license": "327",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "N/A",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gresham, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.