MANDY M PETERSON (NPI# 1871885335) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871885335 |
| Entity Type | Individual |
| Full Name | MANDY M PETERSON |
| Credential | RD |
| Practice Address |
3325 Pocahontas Rd Baker City OR 97814-1464 |
| Practice Telephone | 2082510523 |
| Mailing Telephone | 2082510523 |
| Enumeration Date | 2011-05-03 |
| Last Update Date | 2011-05-03 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 1021 | OR | Dietary & Nutritional Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790055192 | Mandy M Peterson | Massage Therapist | 1010 N Washington St, Janesville, WI 53548-1500 | 2012-01-03 |
| Street Address |
3325 POCAHONTAS RD |
| City | BAKER CITY |
| State | OR |
| Zip Code | 97814-1464 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386636355 | Saint Alphonsus Medical Center-baker City, Inc. | Pharmacy | 3325 Pocahontas Rd, Baker City, OR 97814-1464 | 2005-08-16 |
| 1538777859 | Amanda Johnson | Speech-Language Pathologist | 3325 Pocahontas Rd, Baker City, OR 97814-1464 | 2020-07-22 |
| 1245899426 | Kari Alita Williams | Occupational Therapist | 3325 Pocahontas Rd, Baker City, OR 97814-1464 | 2019-06-11 |
| 1487138814 | Andrea Rice | Dietitian, Registered | 3325 Pocahontas Rd, Baker City, OR 97814-1464 | 2018-09-21 |
| 1518449560 | Tara Lee Reese | Physician Assistant | 3325 Pocahontas Rd, Baker City, OR 97814 | 2018-09-05 |
| 1942711882 | James Johnson | Physical Therapist | 3325 Pocahontas Rd, Baker City, OR 97814-1464 | 2017-10-18 |
| 1053861666 | Micah James Maly | Physical Therapist | 3325 Pocahontas Rd, Baker City, OR 97814-1464 | 2016-10-06 |
| 1558762104 | Chelsey M Loftus | Dietitian, Registered | 3325 Pocahontas Rd, Baker City, OR 97814-1464 | 2014-09-12 |
| 1689080525 | Eric Johnson | Surgery | 3325 Pocahontas Rd, Baker City, OR 97814 | 2014-07-10 |
| 1629404058 | Lindsay Ranae Ganong | Dietitian, Registered | 3325 Pocahontas Rd, Billie Ruth Bootsma Outpatient Clinic, Baker City, OR 97814-1464 | 2013-09-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083279871 | Charles Henry Campos | Counselor | 2021 Court Street, Baker City, OR 97814 | 2019-05-07 |
| 1831546217 | Veronica Crowder | Physician Assistant | Samg Orthopedics Baker City, 3325 Pocahontas Rd, Baker City, OR 97814 | 2016-05-16 |
| 1013389956 | Dara Michelle Fields | Counselor | 2200 4th Street, Baker City, OR 97814 | 2015-10-29 |
| 1003223694 | Colleen Davenport | Nurse Practitioner | 3975 N Midway Dr, Baker City, OR 97814 | 2014-07-16 |
| 1629418363 | Sherry Melena Zacharias Forsyth | Counselor | 2100 Main St., New Directions, Baker City, OR 97814 | 2013-06-26 |
| 1609215573 | Logan Clay Frederickson | Family Medicine | 3820 17th Street, Baker City, OR 97814 | 2013-06-24 |
| 1790124485 | James Lee Morris | Counselor | 3610 Midway, Baker City, OR 97814 | 2013-06-17 |
| 1881955656 | New Directions Northwest, Inc | Substance Abuse Rehabilitation Facility | 3610 Midway Drive, Baker City, OR 97814 | 2012-06-07 |
| 1972864759 | New Directions Northwest, Inc. | Substance Abuse Rehabilitation Facility | 3700 Midway Drive, Baker City, OR 97814 | 2012-06-07 |
| 1659671113 | Al H Brickman | Pharmacist | 1205 Campbell St., Baker City, OR 97814 | 2010-10-29 |
| Find all providers in zip 97814 | ||||
| Taxonomy Code | 133V00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration. |
| Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487138814 | Andrea Rice | Dietitian, Registered | 3325 Pocahontas Rd, Baker City, OR 97814-1464 | 2018-09-21 |
| 1558762104 | Chelsey M Loftus | Dietitian, Registered | 3325 Pocahontas Rd, Baker City, OR 97814-1464 | 2014-09-12 |
| 1023430493 | Lauren Zink | Dietitian, Registered | 3950 17th St, St # A, Baker City, OR 97814-1300 | 2014-01-20 |
| 1629404058 | Lindsay Ranae Ganong | Dietitian, Registered | 3325 Pocahontas Rd, Billie Ruth Bootsma Outpatient Clinic, Baker City, OR 97814-1464 | 2013-09-17 |
| 1194051201 | Kimberly Rhea Lanting | Dietitian, Registered | 3325 Pocahontas Rd, St. Elizabeth Health Services, Baker City, OR 97814 | 2009-10-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952902751 | Elise Michelle Edward | Dietitian, Registered | 5098 Sw Technology Loop Apt 205, Corvallis, OR 97333-1591 | 2020-11-06 |
| 1386245256 | Aloura Linfesty | Dietitian, Registered | 12944 Sw Sara Dr, Gaston, OR 97119-8580 | 2020-11-05 |
| 1699375394 | Ashlyn Hiserote | Dietitian, Registered | 7063 Se Horntail Ln, Hillsboro, OR 97123-2244 | 2020-10-30 |
| 1235739277 | Total Body Knowledge | Dietitian, Registered | 2314 Hempstead St Apt 3, Medford, OR 97501-0259 | 2020-10-29 |
| 1700484805 | Christine Charlotte Madzik | Dietitian, Registered | 655 E 43rd Ave, Eugene, OR 97405-3928 | 2020-10-12 |
| 1578160784 | Kristen Bowman | Dietitian, Registered | 749 Rabbit Run St, Stayton, OR 97383-1697 | 2020-10-01 |
| 1609483064 | Alayna Louise Hutchinson | Dietitian, Registered | 5258 Ne Cleveland Ave, Portland, OR 97211-2614 | 2020-09-29 |
| 1396350229 | Chelsea Elizabeth Horvath | Dietitian, Registered | 2831 Se Palmquist Rd Apt 153, Gresham, OR 97080-5276 | 2020-09-08 |
| 1720692007 | Gabrielle Anastasia Humlie | Dietitian, Registered | 109 W 8th St, Newberg, OR 97132 | 2020-09-03 |
| 1275147670 | Karina Ann Inouye | Dietitian, Registered | 13804 Sw Anna Ct, Tigard, OR 97223-2114 | 2020-09-02 |
| Find all providers with the same taxonomy | ||||
| City | BAKER CITY |
| Zip Code | 97814 |
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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.