Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1649047952 Individual Practitioner Male Practitioner

Micca David Henry , RDN

Dietitian, Registered • White City, OR

Professional Overview & Biography Verified Profile Summary

Micca Henry, RDN is a registered healthcare professional specializing in Dietitian, Registered in White City, OR. Practice services are available at 8495 CRATER LAKE HWY under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

8495 Crater Lake Hwy
Mail Stop: 120

White City, OR 97503

Telephone 5418262111
Associated Practice Facility / Clinic
🏢 White City Vamc Facility NPI 1700834900

Specialty Benchmarks & Practice Insights

Comparative analytics for Dietitian, Registered in White City, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 5.0 Yrs
State Avg: 15.5 Yrs
Regional Practice Density
10 Specialists

Practicing in White City, 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: 2023-12-06
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
Adrian Garibay

Registered Nurse

NPI 1003428244
Kandice Draayer , RN

Registered Nurse - Psychiatric/Mental Health, Adult

NPI 1003554585

Registered Nurse

Kevin Williams , MSW, LCSW

Social Worker - Clinical

NPI 1013012624

Master of Social Work, Licensed Clinical Social Worker

NPI 1013056803

Doctor of Pharmacy (Pharm.D.)

Lyn Sheperd

Registered Nurse

NPI 1013646660
Jean Mount

Nurse Practitioner - Adult Health

NPI 1013927763

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active December 06, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location December 06, 2023

Registered at 8495 CRATER LAKE HWY, MAIL STOP: 120, WHITE CITY, OR 97503 (Tel: 5418262111)

📍
Updated Business Mailing Address December 06, 2023

Registered at 8495 CRATER LAKE HWY, MAIL STOP: 120, WHITE CITY, OR 97503 (Tel: 5418262111)

👤
Provider Name / Credentials Updated December 06, 2023

Recorded as MICCA HENRY, RDN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 06, 2023

Dietitian, Registered

🟢
Initial NPI Registration & Enumeration December 06, 2023

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: 1649047952
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 06, 2023
Last Update: December 06, 2023
Sole Proprietor: No

Mailing Address

8495 Crater Lake Hwy, Mail Stop: 120

White City, OR 97503

Phone: 5418262111

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.