KEELIE KORSNESS (NPI# 1912546177) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912546177 |
| Entity Type | Individual |
| Full Name | KEELIE KORSNESS |
| Credential | MSC, RDN, LD |
| Practice Address |
260 Sw Madison Ave Ste 109 Corvallis OR 97333-4728 |
| Mailing Address |
26760 Fudge Rd Alsea OR 97324-9412 |
| Practice Telephone | 5451908731 |
| Enumeration Date | 2020-01-04 |
| Last Update Date | 2020-01-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 86017100 | Dietary & Nutritional Service Providers | |
| N | 133V00000X | Dietitian, Registered | LD-D-10192004 | OR | Dietary & Nutritional Service Providers |
| Street Address |
260 SW MADISON AVE STE 109 |
| City | CORVALLIS |
| State | OR |
| Zip Code | 97333-4728 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437629037 | Collin Korthauer | Case Manager/Care Coordinator | 1650 Sw 45th Place, Corvallis, OR 97333 | 2018-11-27 |
| 1477079937 | Adam Johnson | Counselor | 518 Sw 3rd, Corvallis, OR 97333 | 2017-08-16 |
| 1386961522 | Michael S. Hanson | Counselor | 518 Sw 3rd St., Corvallis, OR 97333 | 2010-04-28 |
| 1134392376 | Corvallis Physical Therapy Inc | Physical Therapist | 230 Sw 3rd Street Suite 208, Corvallis, OR 97333 | 2008-04-09 |
| 1154529600 | Linda S Lavallee Conniff | Social Worker | 216 Sw Madison Av, #9 10, Corvallis, OR 97333 | 2007-07-06 |
| 1235337056 | Robert R Conniff | Social Worker | 216 Sw Madison Ave, 2, Corvallis, OR 97333 | 2007-07-03 |
| 1619178829 | Trillium Family Services | Residential Treatment Facility, Emotionally Disturbed Children | 4455 Highway North West Highway 20, Corvallis, OR 97333 | 2007-05-29 |
| 1437368867 | Margaret Anne Cooper | Physical Therapist | 230 Sw 3rd Street, Suite 208, Corvallis, OR 97333 | 2007-05-22 |
| 1801009311 | Madeline Elizabeth Rubin | Social Worker | 216 Sw Madison Avenue, Suite 14, Corvallis, OR 97333 | 2007-05-08 |
| 1780707174 | Wheeler John Dale | Internal Medicine | 5060 Sw Philomath Blvd, # 512, Corvallis, OR 97333 | 2007-04-09 |
| Find all providers in zip 97333 | ||||
| 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 |
|---|---|---|---|---|
| 1952902751 | Elise Michelle Edward | Dietitian, Registered | 5098 Sw Technology Loop Apt 205, Corvallis, OR 97333-1591 | 2020-11-06 |
| 1053958116 | Rachel Evon Elzinga | Dietitian, Registered | 1445 Nw Division St Apt 5, Corvallis, OR 97330-4557 | 2019-12-06 |
| 1063057305 | Madison Nicole Delmendo | Dietitian, Registered | 1680 Se Crystal Lake Dr, Corvallis, OR 97333-1281 | 2019-11-11 |
| 1396393757 | Anastasia Kasianchuk | Dietitian, Registered | 2955 Nw Monterey Dr, Corvallis, OR 97330-3434 | 2019-08-29 |
| 1861779118 | Cindy Kitchen | Dietitian, Registered | 3517 Nw Samaritan Dr Ste 200, Corvallis, OR 97330-3767 | 2011-11-14 |
| 1639476708 | Elizabeth Anne Harris | Dietitian, Registered | 4989 Sw Roseberry St, Corvallis, OR 97333-1360 | 2011-02-24 |
| 1538461603 | Judy A. Sundquist | Dietitian, Registered | 7928 Nw Arboretum Road, Corvallis, OR 97330-9538 | 2010-11-23 |
| 1245300672 | Karen Jean Kreamer | Dietitian, Registered | 3600 Nw Samaritan Dr., Corvallis, OR 97330-5130 | 2006-11-09 |
| 1275522989 | Taiga B Sudakin | Dietitian, Registered | 310 Nw 5th St, Ste107, Corvallis, OR 97330-4842 | 2005-10-14 |
| 1144827528 | Creating Nutrition, LLC | Dietitian, Registered | 120 Sw 4th St Ste 150, Corvallis, OR 97333-4896 | 2020-10-08 |
| Find all providers in CORVALLIS | ||||
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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.