JENNIFER RANDALL RD
NPI 1558138552
Dietitian, Registered in Portland, OR

Active since December 08, 2023Accepts Medicare Assignment
1040 NW 22ND AVE STE 520, PORTLAND, OR 97210(503) 413-7557 Get Directions Write a Review

NPPES record last updated: January 11, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Jennifer Randall Rd NPPES

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

JENNIFER RANDALL RD (NPI 1558138552) is an individual dietitian, registered in Portland, Oregon, licensed in Oregon (LD-D-10238407) and active in the NPI registry since December 2023. She is a graduate of Other (2022).

NPPES Registry Identity

NPI1558138552
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameJENNIFER RANDALLCredential: RD
Location Address1040 NW 22ND AVE STE 520Portland, OR 97210-3097
Mailing Address612 Nw 20th Ave Apt 17Portland, OR 97209-1223 · (925) 286-2298
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateDecember 8, 2023
Last NPPES UpdateJanuary 11, 2024
NPPES CertifiedJanuary 11, 2024
NPI 1558138552 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-10238407
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.

1040 NW 22ND AVE STE 520, Portland, OR 97210

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Jennifer Randall Rd is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID143673293
PECOS Enrollment IDI20240125001472

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97210 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $58.99 – $176.88
Typical copayment $0.00 (range $14.74 – $44.22)
Most-billed visit code NA
Established Patient
$103.51 typical visit price
range $19.32 – $144.79
Typical copayment $25.87 (range $4.83 – $36.19)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Dietitian, Registered
1040 NW 22ND AVE STE 520
PORTLAND, OR 97210
Psychologist (Clinical)
1040 NW 22ND AVE STE 520
PORTLAND, OR 97210
Dietitian, Registered
1040 NW 22ND AVE STE 520
PORTLAND, OR 97210
Dietitian, Registered
1040 NW 22ND AVE STE 520
PORTLAND, OR 97210
Dietitian, Registered
1040 NW 22ND AVE STE 520
PORTLAND, OR 97210
Dietitian, Registered
1040 NW 22ND AVE STE 520
PORTLAND, OR 97210
Physical Therapist
1040 NW 22ND AVE STE 520
PORTLAND, OR 97210
Surgery
1040 NW 22ND AVE STE 520
PORTLAND, OR 97210

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 Jennifer Randall's NPI number?

The NPI number for Jennifer Randall is 1558138552. It was assigned to this individual provider in the NPPES registry on December 8, 2023.

Where is Jennifer Randall located?

Jennifer Randall practices at 1040 NW 22nd Ave Ste 520, Portland, OR 97210. The listed phone number is (503) 413-7557.

What is Jennifer Randall's specialty?

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

Is Jennifer Randall enrolled in Medicare?

Yes. Jennifer Randall is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Jennifer Randall accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc. and Regence BlueCross BlueShield of Oregon list Jennifer Randall 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 Jennifer Randall was last updated on January 11, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.