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MRS. TAMMY LEE RUSSELL RDN
NPI 1073701058
Dietitian, Registered in Portland, OR

Active since October 04, 2007
1820 SW VERMONT ST STE F, PORTLAND, OR 97219(503) 313-6778 Get Directions Write a Review

NPPES record last updated: October 16, 2019. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Mrs. Tammy Lee Russell Rdn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. TAMMY LEE RUSSELL RDN (NPI 1073701058) is an individual dietitian, registered in Portland, Oregon, licensed in Oregon (833) and active in the NPI registry since October 2007. She maintains a secondary practice location in Portland.

NPPES Registry Identity

NPI1073701058
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameMRS. TAMMY LEE RUSSELLCredential: RDN
Location Address1820 SW VERMONT ST STE FPortland, OR 97219-1945
Mailing Address1820 Sw Vermont St Ste FPortland, OR 97219-1945 · (503) 313-6778
Phone(503) 313-6778
Sole ProprietorYes
Enumeration DateOctober 4, 2007
Last NPPES UpdateOctober 16, 2019
✔ NPI 1073701058 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
License✔ Licensed in OR · 833
Definition
A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.
1820 SW VERMONT ST STE F, Portland, OR 97219
Open in Google Maps ↗

Secondary Practice Location 1

Location 1163 NE 102nd Ave Bldg 5Portland, OR 97220-4169 · Phone (503) 257-3326

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc..Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Tammy Lee Russell Rdn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Tammy Russell reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Randee Anshutz Nutrition And Massage Therapy
119 mi
Health Service
369 NE REVERE AVE STE 105
Bend, OR 97701
  • Reassigned Medicare billing, Oregon enrollment
  • 8 clinicians in this Medicare group
NPI 1790020196 (541) 323-3488

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LAURA P GERMAN-MCCORKLE LMT
Massage Therapist
1820 SW VERMONT ST STE F
PORTLAND, OR 97219
Multnomah County (503) 201-8333

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tammy Russell's NPI number?

The NPI number for Tammy Russell is 1073701058. It was assigned to this individual provider in the NPPES registry on October 4, 2007.

Where is Tammy Russell located?

Tammy Russell practices at 1820 SW Vermont St Ste F, Portland, OR 97219. The listed phone number is (503) 313-6778.

What is Tammy Russell's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Is Tammy Russell enrolled in Medicare?

Yes. Tammy Russell is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Tammy Russell's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tammy Russell reassigns Medicare benefits to Randee Anshutz Nutrition And Massage Therapy (Bend, OR). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Tammy Russell's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tammy Russell accept?

Health plans from Moda Health Plan, Inc. list Tammy Russell as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Tammy Russell was last updated on October 16, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.