Kaitlin Mueller, RD, CDCES

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

10177728 Issued in OR

Practice address

10175 SW Barbur Blvd Ste 300BM
Portland, OR 97219-5909

Phone

(503) 660-8750

NPI assigned

Nov 26, 2014

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

Other names 1

• Kaitlin Coffey Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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

• Legacy Meridian Park Hospital

  • Hospitalist Physician
  • Tualatin, OR
  • NPI 1023305034
  NPD (past)

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

{
    "created_epoch": "1416960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644537600000",
    "number": "1710384243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4399",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972084399",
            "telephone_number": "503-660-8750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10175 SW BARBUR BLVD STE 300BM",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972195909",
            "telephone_number": "503-660-8750"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10100 SW Woodard Ln",
            "address_purpose": "LOCATION",
            "city": "Tigard",
            "state": "OR",
            "postal_code": "972235186",
            "country_code": "US",
            "telephone_number": "971-230-8809",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6475 SW Borland Rd Ste F",
            "address_purpose": "LOCATION",
            "city": "Tualatin",
            "state": "OR",
            "postal_code": "970629708",
            "country_code": "US",
            "telephone_number": "503-692-2527",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MUELLER",
        "first_name": "KAITLIN",
        "credential": "RD, CDCES",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-26",
        "last_updated": "2022-02-11",
        "certification_date": "2022-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "WA",
            "license": "DI60366844",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "OR",
            "license": "10177728",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAITLIN",
            "last_name": "COFFEY",
            "credential": "RD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Erin A. Mueller, PHD
• Gina Mueller
• Ione Mueller
• Jennifer Mueller, LMT
• Julia Rigg Mueller, NP
• Lilianne Mueller, LAC
• Marcia Ann Mueller, L.AC.
• Reid Vance Mueller, MD
• Ryan Fredrick Mueller, D.M.D.
• Sara Elizabeth Mueller

• 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 Feb 11, 2022; 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.