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KOOSJE BOYD
NPI 1790403038
Dietitian, Registered in Beaverton, OR

Active since August 22, 2022
14631 SW MILLIKAN WAY, BEAVERTON, OR 97003(503) 890-5139 Get Directions Write a Review

NPPES record last updated: December 29, 2024. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Dec 29, 2024, Aug 22, 2022 (2 updates tracked since 2022).

About Koosje Boyd NPPES

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

KOOSJE BOYD (NPI 1790403038) is an individual dietitian, registered in Beaverton, Oregon and active in the NPI registry since August 2022. She maintains 2 additional practice locations.

NPPES Registry Identity

NPI1790403038
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameKOOSJE BOYD
Location Address14631 SW MILLIKAN WAYBeaverton, OR 97003-2999
Mailing Address2850 Sw Cedar Hills Blvd # 2250Beaverton, OR 97005-1354
Phone(503) 890-5139
Sole ProprietorNo
Enumeration DateAugust 22, 2022
Last NPPES UpdateDecember 29, 20242 updates tracked since enumeration
NPPES CertifiedDecember 29, 2024
✔ NPI 1790403038 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
14631 SW MILLIKAN WAY, Beaverton, OR 97003
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Secondary Practice Locations 2

Location 14855 SW Western AveBeaverton, OR 97005-3460 · Phone (503) 890-5139
Location 22850 SW Cedar Hills Blvd # 2250Beaverton, OR 97005-1354 · Phone (503) 890-5139

Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Koosje Boyd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

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

Beaverton Rehab & Specialty Care, LLC
1.9 mi
Skilled Nursing Facility
11850 SW ALLEN BLVD
Beaverton, OR 97005
  • Reassigned Medicare billing, Oregon and Washington enrollments
  • Medicare enrollment name: Kaiser Foundation Health Plan Of The Northwest
  • Also billed through NPI 1184786527 (Washington)
  • 3,207 clinicians in this Medicare group
NPI 1366469330 (503) 646-7164

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 5

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

DR. LAURA RENTERIA PH.D.
Clinical Neuropsychologist
14631 SW MILLIKAN WAY
BEAVERTON, OR 97003
Washington County (971) 330-7352
MRS. NATALIA P PAPAZIAN L.AC
Acupuncturist
14631 SW MILLIKAN WAY, SUITE 10
BEAVERTON, OR 97003
Washington County (503) 803-5040
LUNA ACUPUNCTURE & WELLNESS CENTER LLC
Clinic/Center
14631 SW MILLIKAN WAY, SUITE 6
BEAVERTON, OR 97003
Washington County (503) 853-2866
EAT HEAL NOURISH LLC
Dietitian, Registered
14631 SW MILLIKAN WAY
BEAVERTON, OR 97003
Washington County (503) 890-5139
DR. LAURA RENTERIA, PC
Clinical Neuropsychologist
14631 SW MILLIKAN WAY
BEAVERTON, OR 97003
Washington County (971) 330-7352

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 Koosje Boyd's NPI number?

The NPI number for Koosje Boyd is 1790403038. It was assigned to this individual provider in the NPPES registry on August 22, 2022.

Where is Koosje Boyd located?

Koosje Boyd practices at 14631 SW Millikan Way, Beaverton, OR 97003. The listed phone number is (503) 890-5139.

What is Koosje Boyd's specialty?

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

Is Koosje Boyd enrolled in Medicare?

Yes. Koosje Boyd is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Koosje Boyd's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Koosje Boyd reassigns Medicare benefits to Beaverton Rehab & Specialty Care, LLC (Beaverton, 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 Koosje Boyd's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Koosje Boyd accept?

Health plans from Moda Health Plan, Inc. list Koosje Boyd 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 Koosje Boyd was last updated on December 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.