Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1154956548 Individual Practitioner Female Practitioner

Connie Jo Mickelson , RD, LD

Dietitian, Registered • Salem, OR

Professional Overview & Biography Verified Profile Summary

Connie Mickelson, RD, LD is a registered healthcare professional specializing in Dietitian, Registered in Salem, OR. Practice services are available at 2600 CENTER ST NE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2600 Center St Ne

Salem, OR 973012669

Telephone 5039452800
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dietitian, Registered in Salem, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 8.4 Yrs
State Avg: 15.5 Yrs
Regional Practice Density
30 Specialists

Practicing in Salem, OR (941 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2020-03-06
Dietitian, Registered Primary Specialty

NUCC Taxonomy Code: 133V00000X

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.

Practice Associates & Co-Workers

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

40 Associated Practitioners
Dr. Rachael De La Torre , PhD

Psychologist - Clinical

NPI 1003120767

Doctor of Philosophy (Ph.D.)

NPI 1003903345

Doctor of Medicine (M.D.)

NPI 1053814822

Doctor of Psychology (Psy.D.)

Dr. Kyle Bowers , MD

Psychiatry & Neurology - Psychiatry

NPI 1053818393

Doctor of Medicine (M.D.)

NPI 1063515476

Doctor of Psychology (Psy.D.)

Dr. David Jobe , MD

Psychiatry & Neurology - Psychiatry

NPI 1083701320

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active March 06, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location March 06, 2020

Registered at 2600 CENTER ST NE, SALEM, OR 973012669 (Tel: 5039452800)

📍
Updated Business Mailing Address March 06, 2020

Registered at 2300 INDEPENDENCE HWY, INDEPENDENCE, OR 973519438 (Tel: 5039105400)

👤
Provider Name / Credentials Updated March 06, 2020

Recorded as CONNIE MICKELSON, RD, LD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 06, 2020

Dietitian, Registered

🟢
Initial NPI Registration & Enumeration March 06, 2020

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: 1154956548
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 06, 2020
Last Update: March 06, 2020
Sole Proprietor: No

Mailing Address

2300 Independence Hwy

Independence, OR 973519438

Phone: 5039105400

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.