Active NPI
Heidi Kat Livingston, LRDN
- Renal Nutrition Registered Dietitian
- McMinnville, OR
National Provider Identifier
1861845331
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Renal Nutrition Registered Dietitian
- License
- 86011974
- Practice address
- 200 NE Norton LN
McMinnville, OR 97128-8470 - Phone
- (503) 435-0597
- Fax
- (503) 435-0862
- NPI assigned
- Jul 19, 2016
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 312950 | OR | |
| Obesity and Weight Management Nutrition Registered Dietitian | 133VN1201X | 312950 | OR | |
| Renal Nutrition Registered Dietitian | 133VN1005X | 86011974 | Primary |
Addresses
Primary practice location
200 NE Norton LN
McMinnville, OR 97128-8470
Mailing address
2400 E Haworth Ave Apt 7
Newberg, OR 97132-1392
Phone (503) 890-9822
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 312950 | Other | OR | OREGON HEALTH LICENSING, BOARD OF LICENSED DIETITIANS |
| 86011974 | Other | COMMISSION ON DIETETIC REGISTRATION |
Other names 1
- Mrs. Heidi Katrine Thomason
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 |
|---|---|---|---|
| 312950 | OR | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1468886400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692057600000",
"number": "1861845331",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2400 E HAWORTH AVE APT 7",
"city": "NEWBERG",
"state": "OR",
"postal_code": "971321392",
"telephone_number": "503-890-9822",
"fax_number": "866-491-2808"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 NE NORTON LN",
"city": "MCMINNVILLE",
"state": "OR",
"postal_code": "971288470",
"telephone_number": "503-435-0597",
"fax_number": "503-435-0862"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIVINGSTON",
"first_name": "HEIDI",
"middle_name": "KAT",
"name_prefix": "Ms.",
"credential": "LRDN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-07-19",
"last_updated": "2023-08-15",
"certification_date": "2023-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "OR",
"license": "312950",
"primary": false
},
{
"code": "133VN1201X",
"taxonomy_group": "",
"desc": "Dietitian, Registered, Nutrition, Obesity and Weight Management",
"state": "OR",
"license": "312950",
"primary": false
},
{
"code": "133VN1005X",
"taxonomy_group": "",
"desc": "Dietitian, Registered, Nutrition, Renal",
"state": null,
"license": "86011974",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OREGON HEALTH LICENSING, BOARD OF LICENSED DIETITIANS",
"identifier": "312950",
"state": "OR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMMISSION ON DIETETIC REGISTRATION",
"identifier": "86011974",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"first_name": "HEIDI",
"last_name": "THOMASON",
"middle_name": "KATRINE",
"prefix": "MRS.",
"credential": "LRDN",
"code": "1",
"type": "Former Name"
}
]
}Other providers in McMinnville, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.