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TANA ROSE BLODGETT-ROUSH MS, RD
NPI 1205708997
Dietitian, Registered in Portland, OR

Active since September 22, 2025
9427 SW BARNES RD STE 390, PORTLAND, OR 97225(844) 987-0491 Get Directions Write a Review

NPPES record last updated: November 4, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Tana Rose Blodgett-roush Ms, Rd NPPES

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

TANA ROSE BLODGETT-ROUSH MS, RD (NPI 1205708997) is an individual dietitian, registered in Portland, Oregon, licensed in Oregon (10260522) and active in the NPI registry since September 2025. She maintains a secondary practice location in Portland and is a graduate of Other (2025).

NPPES Registry Identity

NPI1205708997
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameTANA ROSE BLODGETT-ROUSHCredential: MS, RD
Location Address9427 SW BARNES RD STE 390Portland, OR 97225-6652
Mailing Address9427 Sw Barnes Rd Ste 390Portland, OR 97225-6652 · (503) 216-2111
Phone(844) 987-0491
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateSeptember 22, 2025
Last NPPES UpdateNovember 4, 2025
NPPES CertifiedNovember 4, 2025
✔ NPI 1205708997 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 · 10260522
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.
9427 SW BARNES RD STE 390, Portland, OR 97225
Open in Google Maps ↗

Secondary Practice Location 1

Location 14805 NE Glisan St Ste 6N40Portland, OR 97213-2933 · Phone (503) 215-7230

Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tana Rose Blodgett-roush Ms, Rd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID648767087
PECOS Enrollment IDI20251017001707

Medicare Billing Reassignment

Medicare enrollment records show Tana Blodgett-roush reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Providence Health & Services - Oregon
Same address
Pediatrics
9427 SW BARNES RD, SUITE 598
Portland, OR 97225
  • Reassigned Medicare billing, Oregon enrollment
  • 1,501 clinicians in this Medicare group
NPI 1033299458 (503) 216-8654

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 4

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

MRS. LAUREN PARK MARTIN PITRE MS, RDN
Dietitian, Registered (Nutrition, Obesity and Weight Management)
9427 SW BARNES RD STE 390
PORTLAND, OR 97225
Washington County (416) 316-8114
LESLIE GILDERSLEEVE BETTENCOURT RD
Dietitian, Registered
9427 SW BARNES RD STE 390
PORTLAND, OR 97225
Washington County (503) 215-7230
DR. MELINDA GREY HONEYCUTT PSYD
Psychologist (Clinical)
9427 SW BARNES RD STE 390
PORTLAND, OR 97225
Washington County (503) 216-2111
VICKY HOANG NGUYEN PA-C
Physician Assistant
9427 SW BARNES RD STE 390
PORTLAND, OR 97225
Washington County (503) 216-2111

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 Tana Blodgett-roush's NPI number?

The NPI number for Tana Blodgett-roush is 1205708997. It was assigned to this individual provider in the NPPES registry on September 22, 2025.

Where is Tana Blodgett-roush located?

Tana Blodgett-roush practices at 9427 SW Barnes Rd Ste 390, Portland, OR 97225. The listed phone number is (844) 987-0491.

What is Tana Blodgett-roush's specialty?

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

Is Tana Blodgett-roush enrolled in Medicare?

Yes. Tana Blodgett-roush is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Tana Blodgett-roush's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tana Blodgett-roush reassigns Medicare benefits to Providence Health & Services - Oregon (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 Tana Blodgett-roush's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tana Blodgett-roush accept?

Health plans from Providence Health Plan list Tana Blodgett-roush 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 Tana Blodgett-roush was last updated on November 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.