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Active NPI 1093983959 Individual Practitioner Female Practitioner

Stephanie Alice Russell , RDN, LD

Dietitian, Registered • Bend, OR

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Stephanie Russell, RDN, LD is a certified Dietitian, Registered practicing in Bend, OR. With approximately 21 years of clinical experience since completing medical education in 2005, Stephanie Russell delivers high-quality medical care to the local community at 369 NE REVERE AVE STE 105.

Stephanie Russell is affiliated with Randee Anshutz Nutrition And Massage Therapy and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

369 Ne Revere Ave Ste 105

Bend, OR 977014082

Telephone 5413233488
Fax 5413233483
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2005

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Dietitian, Registered in Bend, OR

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
21 Yrs +5.8 yrs vs City Avg
City Avg: 15.2 Yrs
State Avg: 15.5 Yrs
Regional Practice Density
53 Specialists

Practicing in Bend, OR (941 Statewide)

Telehealth Adoption Rate
5.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Russell (21 Years) 21 Yrs
Bend Specialty Average (15.2 Years) 15.2 Yrs

Medical Specialties & State Licenses

CMS Verified: 2025-11-26
Dietitian, Registered Primary Specialty

NUCC Taxonomy Code: 133V00000X

State License OR LD-D-10255383

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.

Dietitian, Registered

NUCC Taxonomy Code: 133V00000X

State License WA 987692

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.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Cdr
987692 (WA)
Commercial Insurance / Payer ID Doh/cd
DI00002073 (WA)

Hospital & Practice Group Affiliations

Randee Anshutz Nutrition And Massage Therapy

369 Ne Revere Ave, Bend, OR 977014082

Phone: 5413233488

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

23 Associated Practitioners
Kaylee Krajcir , RD

Dietitian, Registered

NPI 1194504738

Registered Dietitian

Lindsey Kelly , RDN

Dietitian, Registered

NPI 1225539174

Registered Dietitian Nutritionist

Tiffany Dominguez

Massage Therapist

NPI 1255002473
Gabrielle Hernandez , RD

Dietitian, Registered

NPI 1255803268

Registered Dietitian

Corrin Kalinich , RDN

Dietitian, Registered

NPI 1275200685

Registered Dietitian Nutritionist

Adrienne Lee , RDN

Dietitian, Registered

NPI 1356594865

Registered Dietitian Nutritionist

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location June 06, 2025

Registered at 369 NE REVERE AVE STE 105, BEND, OR 977014082 (Tel: 5413233488)

📍
Updated Business Mailing Address June 06, 2025

Registered at 369 NE REVERE AVE STE 105, BEND, OR 977014082 (Tel: 5413233488)

👤
Provider Name / Credentials Updated June 06, 2025

Recorded as STEPHANIE RUSSELL, RDN, LD

NPI Profile Active February 13, 2008

NPI status registered as active in NPPES database

📍
Updated Practice Location February 13, 2008

Registered at 808 N 39TH AVE, YAKIMA, WA 989026388 (Tel: 5095743408)

📍
Updated Business Mailing Address February 13, 2008

Registered at 808 N 39TH AVE, YAKIMA, WA 989026388

👤
Provider Name / Credentials Updated February 13, 2008

Recorded as STEPHANIE RUSSELL, RD, CD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 13, 2008

Dietitian, Registered (License #987692 in WA)

🟢
Initial NPI Registration & Enumeration February 13, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1093983959
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 13, 2008
Last Update: November 26, 2025
Sole Proprietor: No

Mailing Address

369 Ne Revere Ave Ste 105

Bend, OR 977014082

Phone: 5413233488

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.