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TINA PATNODE RD, LD
NPI 1164777942
Dietitian, Registered in Portland, OR

Active since July 18, 2012
5211 NE GLISAN ST BLDG C, PORTLAND, OR 97213(503) 215-7230 Get Directions Write a Review

NPPES record last updated: April 10, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 10, 2019, Jan 1, 2019 (2 updates tracked since 2019).

About Tina Patnode Rd, Ld NPPES

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

TINA PATNODE RD, LD (NPI 1164777942) is an individual dietitian, registered in Portland, Oregon, licensed in Oregon (LD-D-000499) and active in the NPI registry since July 2012.

NPPES Registry Identity

NPI1164777942
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameTINA PATNODECredential: RD, LD
Location Address5211 NE GLISAN ST BLDG CPortland, OR 97213-3052
Mailing AddressPo Box 3158Portland, OR 97208-3158
Phone(503) 215-7230
Sole ProprietorNo
Enumeration DateJuly 18, 2012
Last NPPES UpdateApril 10, 20192 updates tracked since enumeration
✔ NPI 1164777942 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 · LD-D-000499
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.
5211 NE GLISAN ST BLDG C, Portland, OR 97213
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Other Identifiers 2

Medicaid2043773WA
Medicaid500649438OR

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, PacificSource Health Plans, Providence Health Plan and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tina Patnode Rd, Ld is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

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

Gi Nutrition NW, LLC
4.2 mi
Dietitian, Registered
2175 NW RALEIGH ST STE 110
Portland, OR 97210
  • Reassigned Medicare billing, Oregon enrollment
  • 2 clinicians in this Medicare group
NPI 1427632884 (971) 238-2369

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 19

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

PROVIDENCE HEALTH & SERVICES OREGON
Clinic/Center
5211 NE GLISAN ST BLDG C
PORTLAND, OR 97213
Multnomah County (503) 215-6628
SALLY JO NIEDERMEYER RN
Registered Nurse (Community Health)
5211 NE GLISAN ST BLDG C
PORTLAND, OR 97213
Multnomah County (503) 215-3081
ELLEN LEA POSTEL
Health Educator
5211 NE GLISAN ST BLDG C
PORTLAND, OR 97213
Multnomah County (434) 390-4676
LEILANI LESTA WILSON
Community Health Worker
5211 NE GLISAN ST BLDG C
PORTLAND, OR 97213
Multnomah County (550) 350-3250
MS. KRYSTA RENEE MERRILL
Community Health Worker
5211 NE GLISAN ST BLDG C
PORTLAND, OR 97213
Multnomah County (541) 450-3575
TRACY L BUSEMAN-CARLSTROM
Community Health Worker
5211 NE GLISAN ST BLDG C
PORTLAND, OR 97213
Multnomah County (503) 869-4228
MRS. CHRISTIANN MICHELLE COLLINS RD
Dietitian, Registered
5211 NE GLISAN ST BLDG C
PORTLAND, OR 97213
Multnomah County (503) 215-6628
FRED MCLANE BRUDERLIN JR.
Community Health Worker
5211 NE GLISAN ST BLDG C
PORTLAND, OR 97213
Multnomah County (503) 704-6658

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 Tina Patnode's NPI number?

The NPI number for Tina Patnode is 1164777942. It was assigned to this individual provider in the NPPES registry on July 18, 2012.

Where is Tina Patnode located?

Tina Patnode practices at 5211 NE Glisan St Bldg C, Portland, OR 97213. The listed phone number is (503) 215-7230.

What is Tina Patnode's specialty?

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

Is Tina Patnode enrolled in Medicare?

Yes. Tina Patnode is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Tina Patnode's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tina Patnode reassigns Medicare benefits to Gi Nutrition NW, LLC (Portland, 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 Tina Patnode's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tina Patnode accept?

Health plans from BridgeSpan Health Company, PacificSource Health Plans, Providence Health Plan and Regence BlueCross BlueShield of Oregon list Tina Patnode 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 Tina Patnode was last updated on April 10, 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.