Peyton Michael Rondeau, RD
NPI 1710711452ActiveIndividual· Dietitian, Registered· Roseburg, OR
Dietitian, Registered (RD) with Cow Creek Band of Umpqua Tribe of Indians, practicing in Roseburg, Oregon. Enrolled in Medicare as practitioner - registered dietitian or nutrition professional.
Overview
| NPI | 1710711452 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | RD |
| Sole proprietor | No |
| NPI issued | Aug 27, 2024 |
| Last updated in NPPES | Aug 27, 2024 |
| Certified by provider | Aug 26, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dietitian, Registered Primary | 133V00000X | 86276031 | 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 (TX) |
|---|
Education and affiliations
| Graduation year | 2023 |
|---|---|
| Medicare specialty | Registered Dietitian Or Nutrition Professional |
Medical group
- Cow Creek Band of Umpqua Tribe of IndiansRoseburg, OR · 21 clinicians
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