Rose Mattson, MS, RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

LD-D-10214126 Issued in OR

Practice address

2863 NW Crossing Dr Ste 218
Bend, OR 97703-7190

Phone

(458) 206-3404

Fax

(541) 550-1494

NPI assigned

Aug 16, 2018

Last updated

Jul 27, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Dec 11, 2025 through Dec 11, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1534377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690416000000",
    "number": "1689154932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1770 NE JANICE WAY",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977016689",
            "telephone_number": "907-750-3556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2863 NW CROSSING DR STE 218",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977037190",
            "telephone_number": "458-206-3404",
            "fax_number": "541-550-1494"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1770 NE Janice Way",
            "address_purpose": "LOCATION",
            "city": "Bend",
            "state": "OR",
            "postal_code": "977016689",
            "country_code": "US",
            "telephone_number": "458-206-3404",
            "fax_number": "541-550-1494",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MATTSON",
        "first_name": "ROSE",
        "credential": "MS, RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-16",
        "last_updated": "2023-07-27",
        "certification_date": "2023-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "UT",
            "license": "10466157-4901",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "OR",
            "license": "LD-D-10214126",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Veronica Catherine Matthews, D.D.S.
• Monica Mattick, LCSW
• Hannah K Mattson, DPT
• Jeremiah Mattson
• Kaitlyn Rosemary Mattson
• Emily Legault Mauller, MD
• Richard John Maunder, MD
• Maurice-Maier Enterprises, Inc (Heart of Health, Inc)
• Shelley Maurice-Maier, PHYSICIAN ASSISTANT
• Cherish L Maushak, LMT

• 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 Jul 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.