1. Home
  2. Directory
  3. Oregon
  4. Clackamas
  5. Dietitian Registered
  6. NPI Profile

STASHA ANNE HORNBECK MS, RD, LD, CDE
NPI 1144210949
Dietitian, Registered in Clackamas, OR

Active since October 24, 2005
9800 SE SUNNYSIDE RD, CLACKAMAS, OR 97015(503) 571-3040(503) 571-3095 Get Directions Write a Review

NPPES record last updated: March 7, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Stasha Anne Hornbeck Ms, Rd, Ld, Cde NPPES

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

STASHA ANNE HORNBECK MS, RD, LD, CDE (NPI 1144210949) is an individual dietitian, registered in Clackamas, Oregon, licensed in Oregon (860) and active in the NPI registry since October 2005.

NPPES Registry Identity

NPI1144210949
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameSTASHA ANNE HORNBECKCredential: MS, RD, LD, CDE
Location Address9800 SE SUNNYSIDE RDClackamas, OR 97015-9750
Mailing Address9800 Se Sunnyside RdClackamas, OR 97015-9750 · (503) 571-3040 · Fax (503) 571-3095
Phone(503) 571-3040
Fax(503) 571-3095
Sole ProprietorNo
Enumeration DateOctober 24, 2005
Last NPPES UpdateMarch 7, 2022
NPPES CertifiedMarch 7, 2022
✔ NPI 1144210949 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 · 860
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.
9800 SE SUNNYSIDE RD, Clackamas, OR 97015
Open in Google Maps ↗

Other Identifiers 2

Medicaid028078OR
Medicaid8440547WA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Stasha Anne Hornbeck Ms, Rd, Ld, Cde is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

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

Kaiser Foundation Health Plan Of The Northwest
0.2 mi
Sleep Disorder Diagnostic
9717 SE SUNNYSIDE RD, 3RD FLOOR
Clackamas, OR 97015
  • Reassigned Medicare billing, Oregon and Washington enrollments
  • Also billed through NPI 1871848457 (Washington)
  • 3,207 clinicians in this Medicare group
NPI 1174851505 (503) 659-2454

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 20

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

ASHLEY R JORDAN
Nurse Practitioner (Family)
9800 SE SUNNYSIDE RD
CLACKAMAS, OR 97015
Clackamas County (800) 813-2000
MICHAEL HOLLENBACK P.A.-C.
Physician Assistant (Surgical)
9800 SE SUNNYSIDE RD
CLACKAMAS, OR 97015
Clackamas County (503) 653-6440
DR. CALVERT JOHN SHIPLEY M.D.
Family Medicine
9800 SE SUNNYSIDE RD
CLACKAMAS, OR 97015
Clackamas County (503) 653-6440
JAY JOO M.D.
Pediatrics
9800 SE SUNNYSIDE RD
CLACKAMAS, OR 97015
Clackamas County (503) 813-2000
TRISHA ZANDER
Student in an Organized Health Care Education/Training Program
9800 SE SUNNYSIDE RD
CLACKAMAS, OR 97015
Clackamas County (503) 813-1319
NATASHA WARIKOO PHD
Student in an Organized Health Care Education/Training Program
9800 SE SUNNYSIDE RD
CLACKAMAS, OR 97015
Clackamas County (800) 813-2000
THANH VAN HOANG PHARMD
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
9800 SE SUNNYSIDE RD
CLACKAMAS, OR 97015
Clackamas County (503) 571-8879
HANNAH LARSEN
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
9800 SE SUNNYSIDE RD
CLACKAMAS, OR 97015
Clackamas County (503) 571-8879

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 Stasha Hornbeck's NPI number?

The NPI number for Stasha Hornbeck is 1144210949. It was assigned to this individual provider in the NPPES registry on October 24, 2005.

Where is Stasha Hornbeck located?

Stasha Hornbeck practices at 9800 SE Sunnyside Rd, Clackamas, OR 97015. The listed phone number is (503) 571-3040.

What is Stasha Hornbeck's specialty?

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

Is Stasha Hornbeck enrolled in Medicare?

Yes. Stasha Hornbeck is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Stasha Hornbeck's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Stasha Hornbeck reassigns Medicare benefits to Kaiser Foundation Health Plan Of The Northwest (Clackamas, 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 Stasha Hornbeck's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Stasha Hornbeck was last updated on March 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.