Tana Rose Blodgett-Roush, MS, RD
NPI 1205708997ActiveIndividual· Dietitian, Registered· Portland, OR
Dietitian, Registered (MS, RD) in Portland, Oregon, licensed in OR, with an NPI issued in September 2025. Enrolled in Medicare as practitioner - registered dietitian or nutrition professional.
Overview
| NPI | 1205708997 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MS, RD |
| Sole proprietor | No |
| NPI issued | Sep 22, 2025 |
| Last updated in NPPES | Nov 4, 2025 |
| Certified by provider | Nov 4, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dietitian, Registered Primary | 133V00000X | 10260522 | 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) | Enrolled Practitioner - Registered Dietitian Or Nutrition Professional (OR) |
|---|
Education and affiliations
| Graduation year | 2025 |
|---|---|
| Medicare specialty | Registered Dietitian Or Nutrition Professional |
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