Active NPI
Jill R McCarty, RD
- Registered Dietitian
- Newberg, OR
National Provider Identifier
1851735344
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 855552
- Practice address
- 1001 Providence Dr
Newberg, OR 97132-7485 - Phone
- (503) 537-1536
- NPI assigned
- Apr 26, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 855552 | OR | Primary |
Addresses
Primary practice location
1001 Providence Dr
Newberg, OR 97132-7485
Mailing address
10983 SW Brown St
Tualatin, OR 97062-8370
Phone (503) 639-1973
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 855552 | OR | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1366934400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1366934400000",
"number": "1851735344",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10983 SW BROWN ST",
"city": "TUALATIN",
"state": "OR",
"postal_code": "970628370",
"telephone_number": "503-639-1973"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 PROVIDENCE DR",
"city": "NEWBERG",
"state": "OR",
"postal_code": "971327485",
"telephone_number": "503-537-1536"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCARTY",
"first_name": "JILL",
"middle_name": "R",
"credential": "RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-04-26",
"last_updated": "2013-04-26",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "OR",
"license": "855552",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Newberg, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.