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JAMIE MELINDA LIBERA
NPI 1710424122
Dietitian, Registered in Portland, OR

Active since January 23, 2017
9205 SW BARNES RD, PORTLAND, OR 97225(503) 216-2453 Get Directions Write a Review

NPPES record last updated: January 23, 2017. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Jamie Melinda Libera NPPES

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

JAMIE MELINDA LIBERA (NPI 1710424122) is an individual dietitian, registered in Portland, Oregon, licensed in Oregon (LD-D-10145131) and active in the NPI registry since January 2017.

NPPES Registry Identity

NPI1710424122
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameJAMIE MELINDA LIBERA
Location Address9205 SW BARNES RDPortland, OR 97225-6603
Mailing Address9205 Sw Barnes RdPortland, OR 97225-6603 · (503) 216-2453
Phone(503) 216-2453
Sole ProprietorNo
Enumeration DateJanuary 23, 2017
✔ NPI 1710424122 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-10145131
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.
9205 SW BARNES RD, Portland, OR 97225
Open in Google Maps ↗

Other Identifiers 1

Other1087488OR · Cdr

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)

Jamie Melinda Libera is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Jamie Libera reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Providence Health & Services Oregon
Same address
Primary Care
9205 SW BARNES RD, MT7878
Portland, OR 97225
  • Reassigned Medicare billing, Oregon enrollment
  • 1,501 clinicians in this Medicare group
NPI 1053403394 (503) 216-4961

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 20

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

DR. VICTOR NGUYEN PHAM M.D.
Hospitalist
9205 SW BARNES RD
PORTLAND, OR 97225
Washington County (503) 216-2906
YEVGENY BULOCHNIK PHARMD
Pharmacist
9205 SW BARNES RD
PORTLAND, OR 97225
Washington County (503) 216-3299
MR. DANIEL PAUL ADDY C.R.N.A.
Nurse Anesthetist, Certified Registered
9205 SW BARNES RD
PORTLAND, OR 97225
Washington County (503) 216-1234
MR. JONATHAN DAVID CAULLEY PT
Physical Therapist
9205 SW BARNES RD
PORTLAND, OR 97225
Washington County (503) 216-2610
EMILY ECHTENKAMP LCSW, CADC III, MAC
Counselor (Mental Health)
9205 SW BARNES RD
PORTLAND, OR 97225
Washington County (503) 216-1234
BRIAN J KEARNS MD
Hospitalist
9205 SW BARNES RD
PORTLAND, OR 97225
Washington County (503) 216-2906
DR. JAMES S PUTNAM MD
Radiology (Vascular & Interventional Radiology)
9205 SW BARNES RD
PORTLAND, OR 97225
Washington County (503) 216-4830
MATTHEW CARSTENS FRANK M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
9205 SW BARNES RD
PORTLAND, OR 97225
Washington County (303) 859-4275

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 Jamie Libera's NPI number?

The NPI number for Jamie Libera is 1710424122. It was assigned to this individual provider in the NPPES registry on January 23, 2017.

Where is Jamie Libera located?

Jamie Libera practices at 9205 SW Barnes Rd, Portland, OR 97225. The listed phone number is (503) 216-2453.

What is Jamie Libera's specialty?

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

Is Jamie Libera enrolled in Medicare?

Yes. Jamie Libera is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jamie Libera's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jamie Libera 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 Jamie Libera's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jamie Libera accept?

Health plans from Providence Health Plan list Jamie Libera 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 Jamie Libera was last updated on January 23, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years 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.