Juleeanna Andreoni, LD RD CDE

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

611 Issued in OR

Practice address

1620 SE Knapp St
Portland, OR 97202-6010

Phone

(503) 308-8012

Fax

(833) 407-9210

NPI assigned

May 24, 2007

Last updated

Jan 22, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611273600000",
    "number": "1710198676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1620 SE KNAPP ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972026010",
            "telephone_number": "503-308-8012",
            "fax_number": "833-407-9210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1620 SE KNAPP ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972026010",
            "telephone_number": "503-308-8012",
            "fax_number": "833-407-9210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDREONI",
        "first_name": "JULEEANNA",
        "credential": "LD RD CDE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-24",
        "last_updated": "2021-01-22",
        "certification_date": "2021-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "OR",
            "license": "611",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500622902",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Andrea Mize LLC
• Laura K Andreas, RD
• Mina T Andreas, L.M.T.
• Christa R Andreasen, RN
• Molly Andreason, MD
• Holly Beth Andreosky, NP
• Brett M Andres, MD
• Tami Andres, RN
• Elissa Andresen
• Sean Thomas Andresen, MD

• 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 Jan 22, 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.