Active NPI
My Diabetes Nutrition, LLC
- Registered Dietitian
- Junction City, OR
National Provider Identifier
1730957150
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Legal business name
- MY DIABETES NUTRITION, LLC
- Practice address
- 1835 W 13TH Ave
Junction City, OR 97448-1115 - Phone
- (541) 936-2656
- NPI assigned
- Dec 14, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Melissa Ortiz, RD
- Title
- Manager
- Phone
- (541) 936-2656
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | Primary |
Addresses
Primary practice location
1835 W 13TH Ave
Junction City, OR 97448-1115
Mailing address
1835 W 13TH Ave
Junction City, OR 97448-1115
Phone (541) 936-2656
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1702512000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1705881600000",
"number": "1730957150",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1835 W 13TH AVE",
"city": "JUNCTION CITY",
"state": "OR",
"postal_code": "974481115",
"telephone_number": "541-936-2656"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1835 W 13TH AVE",
"city": "JUNCTION CITY",
"state": "OR",
"postal_code": "974481115",
"telephone_number": "541-936-2656"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MY DIABETES NUTRITION, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-12-14",
"last_updated": "2024-01-22",
"certification_date": "2024-01-22",
"status": "A",
"authorized_official_last_name": "ORTIZ",
"authorized_official_first_name": "MELISSA",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "541-936-2656",
"authorized_official_credential": "RD"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Junction City, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.