GOBBLE SHULTS & ASSOCIATES INC
NPI 1275604399
Dietitian, Registered in Milwaukie, OR

Q: What is Gobble Shults & Associates Inc's NPI number?

The NPI number for Gobble Shults & Associates Inc is 1275604399. It was assigned to this organization in the NPPES registry on November 11, 2006. The provider is doing business as Lifestyle Medicine Group and Medical Nutrition Therapy Northwest.

Q: What is Gobble Shults & Associates Inc's specialty?

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

Active since November 11, 2006

6542 SE LAKE RD STE 202C, MILWAUKIE, OR 97222(503) 652-5070(800) 957-1067 Get Directions Write a Review

NPPES record last updated: January 23, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 5, 2025, Oct 21, 2018 (2 updates tracked since 2018).

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About Gobble Shults & Associates Inc NPPES

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

GOBBLE SHULTS & ASSOCIATES INC (NPI 1275604399), doing business as Lifestyle Medicine Group, is a healthcare organization registered as a dietitian, registered in Milwaukie, Oregon and active in the NPI registry since November 2006. The organization lists John Ellis Gobble, President, as its authorized official.

NPPES Registry Identity

NPI1275604399

Entity TypeOrganization

Primary Taxonomy133V00000X

Legal Business NameGOBBLE SHULTS & ASSOCIATES INC

Location Address6542 SE LAKE RD STE 202CMilwaukie, OR 97222-2244

Mailing Address1463 Sw 20th CtGresham, OR 97080-9662 · (503) 652-5070

Phone(503) 652-5070

Fax(800) 957-1067

Organization SubpartNo

Authorized OfficialJohn Ellis GobblePresident · (503) 652-5070

Enumeration DateNovember 11, 2006

Last NPPES UpdateJanuary 23, 20252 updates tracked since enumeration

NPPES CertifiedJanuary 23, 2025

✔ NPI 1275604399 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.

Also ListedHealth EducatorTaxonomy 174H00000X

6542 SE LAKE RD STE 202C, Milwaukie, OR 97222

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Other Names 2

Doing Business AsLifestyle Medicine Group

Doing Business AsMedical Nutrition Therapy Northwest

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., Premera Blue Cross Blue Shield of Alaska and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Gobble Shults & Associates Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 5 clinicians reassign Medicare billing to Gobble Shults & Associates Inc, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.