Jeana Barbara Van Dyke, RD, LD, CDE

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

000503 Issued in OR

Practice address

631 Elm St SW
Suite 202
Albany, OR 97321-1952

Phone

(541) 812-4844

Fax

(541) 812-4849

NPI assigned

Nov 1, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Albany General Hospital

  • General Acute Care Hospital
  • Albany, OR
  • NPI 1154372340
  Medicare reassignment NPD
• Albany General Hospital

  • Family Medicine Physician
  • Albany, OR
  • NPI 1205192465
  NPD
• Albany General Hospital

  • Surgery Physician
  • Albany, OR
  • NPI 1467718627
  NPD (past)
• Firstcare Medical Foundation

  • Family Medicine Physician
  • Albany, OR
  • NPI 1740216498
  NPD (past)

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1513728000000",
    "number": "1972680726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1046 6TH AVE SW",
            "city": "ALBANY",
            "state": "OR",
            "postal_code": "973211916",
            "telephone_number": "541-812-4000",
            "fax_number": "541-812-4145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "631 ELM ST SW",
            "address_2": "SUITE 202",
            "city": "ALBANY",
            "state": "OR",
            "postal_code": "973211952",
            "telephone_number": "541-812-4844",
            "fax_number": "541-812-4849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN DYKE",
        "first_name": "JEANA",
        "middle_name": "BARBARA",
        "name_prefix": "Ms.",
        "credential": "RD, LD, CDE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2017-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "OR",
            "license": "000503",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500639570",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Victoria A Usher, RN
• Jay Vaikuntam, DDS
• Valley Health Acupuncture LLC
• Wayne Van de Graaff
• Christopher Van Doran, LD
• Logan Van Essen
• Jeremy Jon Van Tress, MSW
• Lawrence S Van, COLLEGE DEGREE
• Thomas Vanasche, MD
• Jay Vandenbogaard, M.S., NCC, CADC III

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.