Active NPI
Diana Mesa, RDN, LDN
- Registered Dietitian
- Portland, OR
National Provider Identifier
1922560796
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- ND8893
- Practice address
- 1120 SE Madison St
Portland, OR 97214-3618 - Phone
- (786) 600-7586
- NPI assigned
- Apr 2, 2019
- Sex
- Female
- Sole proprietor
- Yes
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 | ND8893 | FL | Primary |
Addresses
Primary practice location
1120 SE Madison St
Portland, OR 97214-3618
Mailing address
810 NE 149TH St
Miami, FL 33161-2349
Phone (786) 218-4310
Other practice location 1
810 NE 149th St
Miami, FL 33161-2349
Phone (786) 218-4310
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| En la Mesa Nutrition LLC | Dietitian, Registered | Current | Accepting new patients |
| Marjorie Nolan Cohn LLC | Dietitian, Registered | Past | Accepting new patients |
Locations
1120 SE Madison St
Portland, OR 97214
Phone (541) 885-1675
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1554163200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721260800000",
"number": "1922560796",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "810 NE 149TH ST",
"city": "MIAMI",
"state": "FL",
"postal_code": "331612349",
"telephone_number": "786-218-4310"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1120 SE MADISON ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972143618",
"telephone_number": "786-600-7586"
}
],
"practiceLocations": [
{
"address_1": "810 NE 149th St",
"address_purpose": "LOCATION",
"city": "Miami",
"state": "FL",
"postal_code": "331612349",
"country_code": "US",
"telephone_number": "786-218-4310",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MESA",
"first_name": "DIANA",
"credential": "RDN, LDN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-04-02",
"last_updated": "2024-07-18",
"certification_date": "2021-03-15",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "FL",
"license": "ND8893",
"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 Jul 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.