JUDY A. SUNDQUIST (NPI# 1538461603) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538461603 |
| Entity Type | Individual |
| Full Name | JUDY A. SUNDQUIST |
| Credential | MPH, RD |
| Practice Address |
7928 Nw Arboretum Road Corvallis OR 97330-9538 |
| Mailing Address |
7928 Nw Arboretum Rd Corvallis OR 97330-9538 |
| Practice Telephone | 5412073570 |
| Practice Fax Number | 5412073570 |
| Mailing Telephone | 5412073570 |
| Mailing Fax Number | 5412073570 |
| Enumeration Date | 2010-11-23 |
| Last Update Date | 2010-11-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 133V00000X | Dietitian, Registered | 00413617 | CA | Dietary & Nutritional Service Providers |
| Y | 133VN1004X |
Dietitian, Registered Specialization: Nutrition, Pediatric |
00413617 | CA | Dietary & Nutritional Service Providers |
| Street Address |
7928 NW ARBORETUM ROAD |
| City | CORVALLIS |
| State | OR |
| Zip Code | 97330-9538 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235754912 | Miya Claborn | Counselor | 4495 Se Hwy 20, Corvallis, OR 97330 | 2020-06-09 |
| 1548889017 | Greydi Olvera | Counselor | Childrens Farm Home 4455 Ne Hwy 20, Corvallius, OR 97330 | 2020-04-14 |
| 1053953992 | Andie Marie Gaipo | Counselor | 4455 Ne Hwy 20 - Children's Farm Home, Corvallis, OR 97330 | 2019-10-11 |
| 1740847177 | Stephen Jack Eccles | Behavior Technician | Trillium Children's Farm Home, 4455 Ne Hwy 20, Corvallis, OR 97330 | 2019-05-21 |
| 1750944815 | Tiffany Rene Flinchpaugh | Counselor | Children's Farm Home 4455 Hwy 20, Corvallis, OR 97330 | 2019-04-15 |
| 1679035455 | Isaiah Mile Cassidy | Counselor | Children's Farm Home-4455 Ne Hwy 20, Corvallis, OR 97330 | 2019-04-02 |
| 1982168399 | Haylee Cramblit | Counselor | Children's Farm Home 4455 Ne Hwy 20, Corvallis, OR 97330 | 2019-01-30 |
| 1457835365 | Ashley Alyn Couch | Counselor | 4455 Hwy 20 Corvallis 97330, Corvallis, OR 97330 | 2018-09-18 |
| 1104318898 | Megan Gerding | Technician, Other | 996 Nw Circle Blvd Suite 103, Corvallis, OR 97330 | 2018-05-30 |
| 1700377108 | Pacific Hearing Services | Audiologist | 975 Nw Spruce Ave, Suite #101, Corvallis, OR 97330 | 2018-05-22 |
| Find all providers in zip 97330 | ||||
| Taxonomy Code | 133VN1004X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| Specialization | Nutrition, Pediatric |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164832713 | Jennifer Nickell | Dietitian, Registered | 9307 Sw 51st Ave, Portland, OR 97219-5118 | 2014-05-05 |
| 1700070620 | Inge Daeschel | Dietitian, Registered | 523 Se Washington Street, Dallas, OR 97338-2834 | 2007-09-04 |
| 1326069287 | Lori Suzanne Brizee | Dietitian, Registered | 516 Sw 13th St, Ste 101, Bend, OR 97702-3442 | 2006-07-23 |
| 1235161928 | Lynne Oldham | Dietitian, Registered | 2676 Nw Pickett Ct, Bend, OR 97701-6807 | 2006-07-06 |
| 1740889781 | Georgia Elizabeth Brown | Dietitian, Registered | 2200 Ne Professional Ct, Bend, OR 97701-6063 | 2020-10-21 |
| 1932743127 | Sarah Virginia Lowe | Dietitian, Registered | 3101 Sw Sam Jackson Park Rd, Portland, OR 97239-3095 | 2019-10-31 |
| 1881244135 | Mallory Soares | Dietitian, Registered | 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 | 2019-09-18 |
| 1760045793 | Melody Wilson Acosta | Dietitian, Registered | 811 13th St, Hood River, OR 97031-1204 | 2019-04-16 |
| 1144705674 | Denise Crowley | Dietitian, Registered | 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 | 2018-10-01 |
| 1114414646 | Andrea Lyddane | Dietitian, Registered | 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 | 2018-04-19 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.