FEARLESS WITH FOOD, LLC - NPI 1174166441 - Dietitian, Registered in Portland, OR

Q: What is Fearless With Food, LLC's NPI number?

The NPI number for Fearless With Food, LLC is 1174166441. It was assigned to this organization in the NPPES registry on October 19, 2019.

Q: What is Fearless With Food, LLC's specialty?

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

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About Fearless With Food, Llc NPPES

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

FEARLESS WITH FOOD, LLC (NPI 1174166441) is a healthcare organization registered as a dietitian, registered in Portland, Oregon and active in the NPI registry since October 2019. The organization lists Tessa Komine, Owner, as its authorized official.

NPPES Registry Identity

NPI1174166441

Entity TypeOrganization

Primary Taxonomy133V00000X

Legal Business NameFEARLESS WITH FOOD, LLC

Location Address2100 NE BROADWAY ST STE 225Portland, OR 97232-1544

Mailing Address2100 Ne Broadway St Ste 225Portland, OR 97232-1544 · (971) 270-0590 · Fax (971) 255-1754

Phone(971) 270-0590

Fax(971) 255-1754

Organization SubpartNo

Authorized OfficialTessa KomineOwner · (971) 270-0590

Enumeration DateOctober 19, 2019

✔ NPI 1174166441 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers

Taxonomy Code133V00000X

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.

2100 NE BROADWAY ST STE 225, Portland, OR 97232

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Other Identifiers 1

Medicaid500742923OR

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., Regence BlueCross BlueShield of Oregon.Insurance ›

Other Providers at the Same Location NPPES 11

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

DR. CASEY ELIZABETH CARPENTER N.D., LAC

Naturopath