Georgia Elizabeth Brown, REGISTERED DIETITIAN

Primary specialty

Pediatric Nutrition Registered DietitianTaxonomy code 133VN1004X

License

10209301 Issued in OR

Practice address

2200 NE Professional CT
Bend, OR 97701-6063

Phone

(541) 389-6313

NPI assigned

Oct 21, 2020

Last updated

Oct 21, 2020By 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 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1603238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603238400000",
    "number": "1740889781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20770 EMPIRE AVE APT 140",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977015000",
            "telephone_number": "650-218-9702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 NE PROFESSIONAL CT",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977016063",
            "telephone_number": "541-389-6313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "GEORGIA",
        "middle_name": "ELIZABETH",
        "credential": "REGISTERED DIETITIAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-21",
        "last_updated": "2020-10-21",
        "certification_date": "2020-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133VN1004X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Pediatric",
            "state": "OR",
            "license": "10209301",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Avian Paige Brown
• Beth Brown, LPC,LMFT
• Brittany Alexis Brown
• Chad Tee Brown, MD
• Elaine Michele Brown, RN ARNP PMHNP-BC
• Grady Brown
• Jean M Brown, PA-C
• Josh Sage Brown
• Joyce Burk Brown, OT/L
• Kathleen Brown, LMT

• Pediatric Nutrition Registered Dietitian in Bend, OR
• Providers in Bend, OR by specialty
• Pediatric Nutrition Registered Dietitian in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2020; 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.