ROBERTA LIPPERT (NPI# 1659878445) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659878445 |
| Entity Type | Individual |
| Full Name | ROBERTA LIPPERT |
| Practice Address |
3410 Cherry Ave Ne Keizer OR 97303-4924 |
| Mailing Address |
2099 Robins Ln Se Unit 235 Salem OR 97306-2782 |
| Practice Telephone | 5033043400 |
| Mailing Telephone | 5038842735 |
| Enumeration Date | 2018-04-09 |
| Last Update Date | 2018-04-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133NN1002X |
Nutritionist Specialization: Nutrition, Education |
Dietary & Nutritional Service Providers |
| Street Address |
3410 CHERRY AVE NE |
| City | KEIZER |
| State | OR |
| Zip Code | 97303-4924 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932473618 | Lavinia S Goto | Registered Nurse | 3410 Cherry Ave Ne, Keizer, OR 97303-4924 | 2012-02-28 |
| 1598256281 | Oregon Wellness Network LLC | Clinic/Center | 3410 Cherry Ave Ne, Keizer, OR 97303 | 2018-05-29 |
| 1275020182 | Holly Rudman | Occupational Therapy Assistant | 3410 Cherry Ave Ne, Keizer, OR 97303-4924 | 2018-04-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649750175 | Kristin Marie Barz | Behavioral Analyst | 4690 12th Ave Ne, Keizer, OR 97303 | 2018-08-15 |
| 1003359605 | Angela Rose Richard | Community Health Worker | 3410 Cherry Avenue Ne, Keizer, OR 97303 | 2016-11-30 |
| 1881146629 | Alma Denise Vera | Dental Hygienist | 5825 Shoreview Lane Ste C, Keizer, OR 97303 | 2016-10-27 |
| 1679919849 | Ramya Shyamala Kamath | Dentist | 4817 River Rd N, Keizer, OR 97303 | 2013-05-15 |
| 1356682041 | Teresa M Treinen | Physical Therapist | 190 Sandy Drive N, Keizer, OR 97303 | 2013-03-06 |
| 1598001844 | Eagle Eye Vision Care LLC | Optometrist | 4048 River Road North, Keizer, OR 97303 | 2012-12-13 |
| 1245590553 | Thora Jane Stacy | Dental Assistant | 2300 N.e. Lacncaster Dr., Salem, OR 97303 | 2012-05-21 |
| 1295028850 | Rodger Nordskog Magnuson | Pharmacist | 5452 River Road N., Keizer, OR 97303 | 2011-05-16 |
| 1326299843 | Douglas Scott Hamblin | Pediatrics | 5685 Inland Shores Way, Keizer, OR 97303 | 2008-10-02 |
| 1982870382 | Debra Kaye Lynch | Podiatrist | 4905 River Road N, Keizer, OR 97303 | 2008-05-06 |
| Find all providers in zip 97303 | ||||
| Taxonomy Code | 133NN1002X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Nutritionist |
| Specialization | Nutrition, Education |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033730171 | Alexandra Jay | Nutritionist | 60973 Waterfront Ct, Bend, OR 97702-7980 | 2020-04-29 |
| 1487281895 | Robin Pulskamp | Nutritionist | 4516 Ne 41st Ave, Portland, OR 97211-8139 | 2020-03-25 |
| 1427692623 | Roxanne Franklin Wilson | Nutritionist | 1900 Ne Highway 99w Ste K, Mcminnville, OR 97128-2757 | 2019-10-30 |
| 1316599319 | Rebecca Rose Fallihee | Nutritionist | 2090 Four Oaks Grange Rd, Eugene, OR 97405-1013 | 2019-07-10 |
| 1366901613 | Shannon Austin | Nutritionist | 25250 Sw Meadowbrook Ln, Sherwood, OR 97140-8493 | 2019-03-17 |
| 1568900280 | Terri Dawn Ward | Nutritionist | 20541 Sw 103rd Ave, Tualatin, OR 97062-9513 | 2017-02-01 |
| 1891237319 | Jenny Cai Noland | Nutritionist | 85804 S Willamette St, Eugene, OR 97405-9555 | 2016-11-15 |
| 1689041899 | Integrative Consulting LLC | Nutritionist | 730 Biddle Rd Ste A, Medford, OR 97504-6116 | 2015-08-24 |
| 1639545585 | Shawna Esparza | Nutritionist | 3837 Se Ogden St, Portland, OR 97202-7828 | 2015-08-14 |
| 1568802619 | Melissa Hedstrom | Nutritionist | 5423 Monterey Dr Se, Salem, OR 97306-8800 | 2013-07-02 |
| 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.