New Leaf Family Nutrition, LLC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

LD-D-10183927 Issued in OR

Legal business name

NEW LEAF FAMILY NUTRITION, LLC

Practice address

780 Commercial St SE Ste 305
Salem, OR 97301-3455

Phone

(503) 551-4072

NPI assigned

Aug 15, 2018

Organization subpart

No

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

Authorized official

Name

Whitney Lundy, MS, RDN, LDNPI 1457889057

Title

Registered Dietitian Nutritionist

Phone

(503) 551-4072

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Whitney Lundy, MS RDN LD

  • Registered Dietitian
  • Salem, OR
  • NPI 1457889057

  Dietitian, Registered

  NPD (past) Authorized official

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

{
    "created_epoch": "1534291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534291200000",
    "number": "1912487349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 MUIRFIELD CT SE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973068598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "780 COMMERCIAL ST SE STE 305",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973013455",
            "telephone_number": "503-551-4072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW LEAF FAMILY NUTRITION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-15",
        "last_updated": "2018-08-15",
        "status": "A",
        "authorized_official_last_name": "LUNDY",
        "authorized_official_first_name": "WHITNEY",
        "authorized_official_title_or_position": "REGISTERED DIETITIAN NUTRITIONIST",
        "authorized_official_telephone_number": "503-551-4072",
        "authorized_official_credential": "MS, RDN, LD"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": "OR",
            "license": "LD-D-10183927",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1457889057",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Registered Dietitian in Salem, OR
• Providers in Salem, OR by specialty
• Registered Dietitian in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2018; 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.