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Active NPI 1265484364 Individual Practitioner Female Practitioner

Madelyn Jo Koontz , RD, LD

Dietitian, Registered • Salem, OR

Professional Overview & Biography Verified Profile Summary

Madelyn Koontz, RD, LD is a registered healthcare professional specializing in Dietitian, Registered in Salem, OR. Practice services are available at 3878 BEVERLY AVE NE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3878 Beverly Ave Ne

Salem, OR 973051349

Telephone 5033636065
Fax 5035853523

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

Dietitian, Registered Primary Specialty

NUCC Taxonomy Code: 133V00000X

State License OR 24

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

16 Associated Practitioners
Elinor Taylor , QMHP

Counselor - Mental Health

NPI 1053716498

Qualified Mental Health Professional

Wendy Patzke , BS, QMHA, CADC I

Counselor - Addiction (Substance Use Disorder)

NPI 1164810560

Bachelor of Science, QMHA, CADCI

NPI 1184068793

CADCII, CGACI, QMHA

Melinda Rossow

Social Worker

NPI 1336545342
Dwayne Graves , CRM

Counselor - Addiction (Substance Use Disorder)

NPI 1457894552
Jonathan Chrystal , QMHP

Counselor - Mental Health

NPI 1508242736

Qualified Mental Health Professional

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 3878 BEVERLY AVE NE, SALEM, OR 973051349 (Tel: 5033636065)

📍
Updated Business Mailing Address July 08, 2007

Registered at 3030 LAWNRIDGE ST SW, ALBANY, OR 973213444 (Tel: 5419269216)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as MADELYN KOONTZ, RD, LD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dietitian, Registered (License #24 in OR)

🟢
Initial NPI Registration & Enumeration May 17, 2006

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: 1265484364
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 17, 2006
Last Update: July 13, 2026
Sole Proprietor: No

Mailing Address

3030 Lawnridge St Sw

Albany, OR 973213444

Phone: 5419269216

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.