Active NPI
Amy Mae Frasieur, MS RDN LD
- Registered Dietitian
- Corvallis, OR
National Provider Identifier
1881785483
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Practice address
- 108 SW Memorial PL
Corvallis, OR 97331-8667 - Phone
- (541) 737-5041
- NPI assigned
- Sep 27, 2006
- Last updated
- Sep 13, 2019
- 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 | NU | Primary |
Addresses
Primary practice location
108 SW Memorial PL
Corvallis, OR 97331-8667
Mailing address
108 SW Memorial PL
Corvallis, OR 97331-8667
Phone (541) 737-5041
Other names 1
- Ms. Amy Mae Lorincz
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
- Credentials
- Master of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ous Oregon State University | Past | Accepting new patients | |
| Bastyr University | Dietitian, Registered | Past | Accepting new patients |
Organizations & group practices 2
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.
-
dba Student Health Services Medical Laboratory
- Clinical Medical Laboratory
- Corvallis, OR
- NPI 1568882454
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159315200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1568332800000",
"number": "1881785483",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "108 SW MEMORIAL PL",
"city": "CORVALLIS",
"state": "OR",
"postal_code": "973318667",
"telephone_number": "541-737-5041"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "108 SW MEMORIAL PL",
"city": "CORVALLIS",
"state": "OR",
"postal_code": "973318667",
"telephone_number": "541-737-5041"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRASIEUR",
"first_name": "AMY",
"middle_name": "MAE",
"name_prefix": "Ms.",
"credential": "MS RDN LD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-27",
"last_updated": "2019-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "AMY",
"last_name": "LORINCZ",
"middle_name": "MAE",
"prefix": "MS.",
"credential": "RD LD",
"code": "1",
"type": "Former Name"
}
]
}
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 Sep 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.