Active NPI
High Desert Dietitians, LLC
- Registered Dietitian
- Bend, OR
National Provider Identifier
1891411807
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Legal business name
- HIGH DESERT DIETITIANS, LLC
- Practice address
- 2050 NE Traditions CT
Bend, OR 97701-6744 - Phone
- (509) 598-6894
- NPI assigned
- Oct 12, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jon Lanman, RD
- Title
- Owner
- Phone
- (509) 598-6894
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | Primary |
Addresses
Primary practice location
2050 NE Traditions CT
Bend, OR 97701-6744
Mailing address
2050 NE Traditions CT
Bend, OR 97701-6744
Phone (509) 598-6894
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1665532800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1665532800000",
"number": "1891411807",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2050 NE TRADITIONS CT",
"city": "BEND",
"state": "OR",
"postal_code": "977016744",
"telephone_number": "509-598-6894"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2050 NE TRADITIONS CT",
"city": "BEND",
"state": "OR",
"postal_code": "977016744",
"telephone_number": "509-598-6894"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HIGH DESERT DIETITIANS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-10-12",
"last_updated": "2022-10-12",
"certification_date": "2022-10-12",
"status": "A",
"authorized_official_last_name": "LANMAN",
"authorized_official_first_name": "JON",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "509-598-6894",
"authorized_official_credential": "RD"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bend, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.