Individual provider Active NPI

Amy Mae Frasieur, MS RDN LD

  • Registered Dietitian
  • Corvallis, OR
National Provider Identifier
1881785483
Registry record updated Sep 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Practice address
108 SW Memorial PL
Corvallis, OR 97331-8667
Phone
(541) 737-5041
NPI assigned
Sep 27, 2006
Last updated
Sep 13, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

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

OrganizationSpecialtyStatusNew patients
Ous Oregon State University PastSince Sep 15, 2019 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.

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.

Verify at the official NPI Registry.