Organization Active NPI

Larson Sturtevant Consulting, LLC

  • Registered Dietitian
  • Portland, OR
National Provider Identifier
1861892531
Registry record updated Aug 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
777 Issued in OR
Legal business name
LARSON STURTEVANT CONSULTING, LLC
Practice address
3719 N Williams Ave
Portland, OR 97227-1440
Phone
(503) 288-4104
Fax
(503) 287-4955
NPI assigned
Aug 29, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2014

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

Authorized official

Name
Dana R Sturtevant, MS, RD
Title
Dietitian/Trainer/Mentor/Owner
Phone
(503) 288-4104

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 133V00000X 777 OR Primary

Addresses

Primary practice location

3719 N Williams Ave
Portland, OR 97227-1440

Mailing address

3719 N Williams Ave
Portland, OR 97227-1440
Phone (503) 288-4104

National Provider Directory

National Provider Directory

Locations

3719 N Williams Ave
Portland, OR 97227
Phone (503) 288-4104

NPI Registry JSON

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

{
    "created_epoch": "1409270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409270400000",
    "number": "1861892531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3719 N WILLIAMS AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972271440",
            "telephone_number": "503-288-4104",
            "fax_number": "503-287-4955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3719 N WILLIAMS AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972271440",
            "telephone_number": "503-288-4104",
            "fax_number": "503-287-4955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LARSON STURTEVANT CONSULTING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-29",
        "last_updated": "2014-08-29",
        "status": "A",
        "authorized_official_last_name": "STURTEVANT",
        "authorized_official_first_name": "DANA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "DIETITIAN/TRAINER/MENTOR/OWNER",
        "authorized_official_telephone_number": "503-288-4104",
        "authorized_official_credential": "MS, RD"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": "OR",
            "license": "777",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.