Southern Oregon Nutrition & Diabetes Training Center
NPI 1104907609ActiveOrganization· Dietitian, Registered· Medford, OR
Dietitian, Registered in Medford, Oregon, registered in NPPES in October 2006. The authorized official on file is Susan L. Spiva, RD, CDE, Dietitian/Owner.
Overview
| NPI | 1104907609 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 18, 2006 |
| Last updated in NPPES | Jul 23, 2007 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dietitian, Registered Primary | 133V00000X | 366 | OR |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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All 25 registered dietitians in Medford · All registered dietitians in Oregon