SAMG GLYCEMIC ONTARIO
NPI 1366831885
Dietitian, Registered in Ontario, OR

Active since January 21, 2015
351 SW 9TH AVE, ONTARIO, OR 97914(541) 881-7480(541) 881-7147 Get Directions Write a Review

NPPES record last updated: January 24, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jan 24, 2023, Feb 12, 2022, Sep 22, 2020 and 1 more (4 updates tracked since 2018).

About Samg Glycemic Ontario NPPES

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

SAMG GLYCEMIC ONTARIO (NPI 1366831885) is a healthcare organization registered as a dietitian, registered in Ontario, Oregon and active in the NPI registry since January 2015. The organization lists Brian Lannie Checketts, Cfo, as its authorized official.

NPPES Registry Identity

NPI1366831885
Entity TypeOrganization
Primary Taxonomy133V00000X
Legal Business NameSAINT ALPHONSUS MEDICAL CENTER- ONTARIO INC
Location Address351 SW 9TH AVEOntario, OR 97914-2639
Mailing Address3340 E Goldstone WayMeridian, ID 83642-1026 · (208) 367-5170 · Fax (208) 367-5180
Fax(541) 881-7147
Organization SubpartNo
Authorized OfficialBrian Lannie CheckettsCfo · (208) 367-7347
Enumeration DateJanuary 21, 2015
Last NPPES UpdateJanuary 24, 20234 updates tracked since enumeration
NPPES CertifiedJanuary 24, 2023
NPI 1366831885 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

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 ListedRegistered NurseTaxonomy 163W00000X
Also ListedRegistered Nurse · Diabetes EducatorTaxonomy 163WD0400X
351 SW 9TH AVE, Ontario, OR 97914

Other Names 1

Doing Business AsSamg Glycemic Ontario

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

Other Providers at the Same Location NPPES

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

Nurse Practitioner (Acute Care)
351 SW 9TH AVE
ONTARIO, OR 97914

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1366831885, enumerated as an "organization" on January 21, 2015.

The provider is located at 351 SW 9TH AVE ONTARIO, OR 97914 and the phone number is (541) 881-7480.

Dietitian, Registered with taxonomy code 133V00000X.