Active NPI
Cindy Kitchen, RD
- Registered Dietitian
- Corvallis, OR
National Provider Identifier
1861779118
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- D-001037
- Practice address
- 3517 NW Samaritan Dr Ste 200
Corvallis, OR 97330-3767 - Phone
- (541) 768-6429
- Fax
- (541) 768-6514
- NPI assigned
- Nov 14, 2011
- Sex
- Female
- Sole proprietor
- Yes
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 | D-001037 | OR | Primary |
Addresses
Primary practice location
3517 NW Samaritan Dr Ste 200
Corvallis, OR 97330-3767
Mailing address
3517 NW Samaritan Dr Ste 200
Corvallis, OR 97330-3767
Phone (541) 768-6429
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| D-001037 | Other | OR | STATE LICENSE |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D-001037 | OR | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Good Samaritan Hospital Corvallis | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Gynecologic Oncology Physician
- Corvallis, OR
- NPI 1710787916
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1321228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1321228800000",
"number": "1861779118",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3517 NW SAMARITAN DR STE 200",
"city": "CORVALLIS",
"state": "OR",
"postal_code": "973303767",
"telephone_number": "541-768-6429",
"fax_number": "541-768-6514"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3517 NW SAMARITAN DR STE 200",
"city": "CORVALLIS",
"state": "OR",
"postal_code": "973303767",
"telephone_number": "541-768-6429",
"fax_number": "541-768-6514"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KITCHEN",
"first_name": "CINDY",
"name_prefix": "Ms.",
"credential": "RD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-11-14",
"last_updated": "2011-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "OR",
"license": "D-001037",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "D-001037",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Corvallis, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.