JILLIAN ELISE NYBAKKEN


Address: 890 Oak St Se, Salem, OR 97301-3905
Phone: 5035615200

JILLIAN ELISE NYBAKKEN (NPI# 1265053425) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1265053425
Entity Type Individual
Full Name JILLIAN ELISE NYBAKKEN
Credential RD, LD
Practice Address 890 Oak St Se
Salem
OR 97301-3905
Mailing Address 5815 Red Leaf Dr S Apt 217
Salem
OR 97306-3025
Practice Telephone 5035615200
Mailing Telephone 8184648223
Enumeration Date 2020-04-29
Last Update Date 2020-04-29
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 133V00000X Dietitian, Registered LD-D-10204599 OR Dietary & Nutritional Service Providers

Office Location

Street Address 890 OAK ST SE
City SALEM
State OR
Zip Code 97301-3905

Providers in the same location

NPI Name Taxonomy Address Enumeration
1427051259 Lee Eugene Vranna Rehabilitation Practitioner 890 Oak St Se, Salem, OR 97301 2005-05-24
1588262687 Eric Timmons Nurse Practitioner 890 Oak St Se, Salem, OR 97301-3905 2020-10-12
1548875610 Jena Mcclain Registered Nurse 890 Oak St Se, Salem, OR 97301-3905 2020-09-15
1255966883 Ashley Danielle Morally Nurse Practitioner 890 Oak St Se, Salem, OR 97301-3905 2020-03-04
1871156588 Benjamin Arndt Surgery 890 Oak St Se, Salem, OR 97301-3905 2019-04-17
1467910802 Alyssa A. Powell Pharmacist 890 Oak St Se, Salem, OR 97301-3905 2019-03-05
1760954556 Lawrence Steven Molinar Dietitian, Registered 890 Oak St Se, Salem, OR 97301 2018-12-18
1720554801 Martina Georgette Vawser Specialist/Technologist, Other 890 Oak St Se, Salem, OR 97301-3905 2018-10-16
1952885659 Amy Purkey Internal Medicine 890 Oak St Se, Salem, OR 97301-3905 2018-09-18
1740789940 Krista Hughes Pharmacist 890 Oak St Se, Salem, OR 97301-3905 2018-02-03
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1205450970 Jehan Seals Behavior Technician 3400 State St Set G750, Salem, OR 97301 2020-05-29
1093335929 Sterling Recovery, LLC Dietitian, Registered 3758 Amber St Ne #105, Salem, OR 97301 2020-04-21
1760018360 Riverfront Mental Health LLC Counselor 338 State St, Suite 985, Salem, OR 97301 2020-03-16
1871126888 Amity Beth Haddon Maxwell Social Worker Oregon State Hospital, 2600 Center St Ne, Salem, OR 97301 2020-02-18
1861042632 Brenda Grizelda Vargas Behavioral Analyst 3400 State Ste Ste G750, Salem, OR 97301 2019-09-13
1588213177 Natalie Stone Registered Nurse 2045 Siverton Rd Ne, Salem, OR 97301 2019-09-06
1588228720 Jeramy Disenso Counselor 270 Cottage St Ne, Salem, OR 97301 2019-04-23
1801353297 Gwendolyn Kersey Registered Nurse 2600 Center St Ne Oregon State Hospital, Salem, OR 97301 2019-02-21
1841769114 Spine Clinic PC Massage Therapist 1281 Lancaster Drive Ne, Salem, OR 97301 2018-11-16
1013482132 Kellie Linn Hansen Physical Therapist 4049 Market St Se, Salem, OR 97301 2018-10-04
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Taxonomy Information

Taxonomy Code 133V00000X
Grouping Dietary & Nutritional Service Providers
Classification Dietitian, Registered

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1093335929 Sterling Recovery, LLC Dietitian, Registered 3758 Amber St Ne #105, Salem, OR 97301 2020-04-21
1730716069 Bethany Frieler Dietitian, Registered 266 Missouri Ave S, Salem, OR 97302-4564 2020-03-25
1952865941 Erica Lee Klag Dietitian, Registered 1 Oakland St, Salem, MA 01970-1520 2019-01-24
1306399761 Michelle Garcia Dietitian, Registered 3886 Beverly Ave Ne Ste 6, Salem, OR 97305-1373 2016-08-02
1518321389 Grace Wilburn Dietitian, Registered 306 Front Ave, Salem, VA 24153-6233 2016-04-07
1376925719 Premier Endocrinology Associates, LLC Dietitian, Registered 960 Liberty Street Se Suite 170, Salem, OR 97302 2015-06-22
1558772319 Shannon Woodward D'aquila Haynes Dietitian, Registered 354 Darling Rd, Salem, CT 06420-3913 2014-05-14
1508284472 Katherine Spann Dietitian, Registered 890 Oak St Se Bldg D, Salem, OR 97301-3905 2014-03-28
1194140970 Barbara E. Rougier Dietitian, Registered 3r Oak View Ave, Salem, MA 01970-4315 2014-03-03
1881019784 Jennifer E Jasmin Dietitian, Registered 46 Northey St, Salem, MA 01970-3905 2014-02-28
Find all providers in SALEM

Competitor

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City SALEM
Zip Code 97301

Improve Information

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Dataset Information

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.

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