NPIMap

Organization Active NPI

Randee Anshutz Nutrition and Massage Therapy

  • Health Service Clinic/Center
  • Bend, OR
National Provider Identifier
1790020196
Registry record updated Nov 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
7602 Issued in OR
Legal business name
RANDEE ANSHUTZ NUTRITION AND MASSAGE THERAPY
Practice address
369 NE Revere Ave Ste 105
Bend, OR 97701-4082
Phone
(541) 323-3488
Fax
(541) 323-3483
NPI assigned
Dec 11, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2025

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

Authorized official

Name
Randee Anshutz, RD, LD, NCTMBNPI 1619157898
Title
Owner/Operator
Phone
(541) 323-3488

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X 7602 OR Primary
Health Service Clinic/Center 261QH0100X 1024 OR

Addresses

Primary practice location

369 NE Revere Ave Ste 105
Bend, OR 97701-4082

Mailing address

369 NE Revere Ave Ste 105
Bend, OR 97701-4082
Phone (541) 323-3488

Other names 1

  • Synergy Health and Wellness Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160126002723 OR Part B Supplier - Clinic/Group Practice 2769785609 Receives reassigned benefits from 8 practitioners
Practice locations: Bend, OR

National Provider Directory

National Provider Directory

Locations

369 NE Revere Ave
Ste 105
Bend, OR 97701
Phone (541) 323-3488

244 NE Franklin Ave
Ste 3
Bend, OR 97701
Phone (541) 323-3488

244 NE Franklin Ave
Ste 5
Bend, OR 97701
Phone (541) 323-3488

Practitioners & affiliated clinicians

Practitioners 20

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1355184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764115200000",
    "number": "1790020196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "369 NE REVERE AVE STE 105",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977014082",
            "telephone_number": "541-323-3488",
            "fax_number": "541-323-3483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "369 NE REVERE AVE STE 105",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977014082",
            "telephone_number": "541-323-3488",
            "fax_number": "541-323-3483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RANDEE ANSHUTZ NUTRITION AND MASSAGE THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-11",
        "last_updated": "2025-11-26",
        "certification_date": "2025-11-26",
        "status": "A",
        "authorized_official_last_name": "ANSHUTZ",
        "authorized_official_first_name": "RANDEE",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "541-323-3488",
        "authorized_official_credential": "RD, LD, NCTMB"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "OR",
            "license": "7602",
            "primary": true
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "OR",
            "license": "1024",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Synergy Health and Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bend, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2025; 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.

Verify at the official NPI Registry.