Individual provider Active NPI

Andrea Sue Baumann, RD

  • Registered Dietitian
  • Bend, OR
National Provider Identifier
1801066139
Registry record updated Jun 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
LD-D-000708 Issued in OR
Practice address
354 NE Greenwood Ave Ste 212
Bend, OR 97701-4632
Phone
(360) 265-4754
Fax
(541) 833-6665
NPI assigned
Mar 3, 2008
Last updated
Jun 4, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 708 OR
Registered Dietitian 133V00000X LD-D-000708 OR Primary

Addresses

Primary practice location

354 NE Greenwood Ave Ste 212
Bend, OR 97701-4632

Mailing address

2660 NE Highway 20 Ste 610-26
Bend, OR 97701-6402
Phone (360) 265-4754

Other practice location 1

1501 NE Medical Center Dr
Bend, OR 97701-6051
Phone (541) 382-2811

Other identifiers 1

IdentifierTypeStateIssuer
500665841MedicaidOR

Other names 1

  • Andrea Sue Williamson Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080320000122 OR Practitioner - Registered Dietitian Or Nutrition Professional 8921184797 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Washington College of Physicians and Surgeons, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

354 NE Greenwood Ave
Suite 212
Bend, OR 97701-4632
Phone (541) 241-6518

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
708ORMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Cascade Nutrition Consulting, LLC CurrentSince Jan 1, 2017 Accepting new patients

Locations

2660 NE Highway 20
Ste 61026
Bend, OR 97701

354 NE Greenwood Ave
Ste 212
Bend, OR 97701
Phone (360) 265-4754

384 SW Upper Terrace Dr
Ste 213
Bend, OR 97702
Phone (360) 265-4754

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1204502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748995200000",
    "number": "1801066139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2660 NE HIGHWAY 20 STE 610-26",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977016402",
            "telephone_number": "360-265-4754",
            "fax_number": "541-385-4987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "354 NE GREENWOOD AVE STE 212",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977014632",
            "telephone_number": "360-265-4754",
            "fax_number": "541-833-6665"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1501 NE Medical Center Dr",
            "address_purpose": "LOCATION",
            "city": "Bend",
            "state": "OR",
            "postal_code": "977016051",
            "country_code": "US",
            "telephone_number": "541-382-2811",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAUMANN",
        "first_name": "ANDREA",
        "middle_name": "SUE",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-03",
        "last_updated": "2025-06-04",
        "certification_date": "2025-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "OR",
            "license": "708",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "OR",
            "license": "LD-D-000708",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500665841",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANDREA",
            "last_name": "WILLIAMSON",
            "middle_name": "SUE",
            "credential": "RD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Jun 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.