Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Stephanie Alice Russell, RDN, LD

Individual provider Registered Dietitian · NPI 1093983959

Stephanie Alice Russell, RDN, LD is registered under Registered Dietitian OR Nutrition Professional in Bend, Oregon. Qualified in 2005, 21 years ago. Practices with Randee Anshutz Nutrition and Massage Therapy, a 6-clinician group and accepts Medicare assignment. Licensed in Oregon and Washington.

Years since qualifying
21
Licensed in
OR, WA
In the registry since
2008
Specialties on file
2
What do these letters mean?
RDN — Registered Dietitian Nutritionist
The current title for a registered dietitian.
LD — Licensed Dietitian
A dietitian licensed by a state board.

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Practice location Address checks out

369 NE Revere Ave Ste 105
Bend, OR 97701-4082
Phone: (541) 323-3488
Fax: (541) 323-3483
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence LD-D-10255383 (OR)
Registered Dietitian Taxonomy 133V00000X · Licence 987692 (WA)

Record details

NPI number1093983959
Entity typeIndividual (Type 1)
GenderFemale
Credentials RDN , LD
Sole proprietorNo
NPI enumeratedFebruary 13, 2008
Last updated in NPPESNovember 26, 2025
Certification dateNovember 26, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyREGISTERED DIETITIAN OR NUTRITION PROFESSIONAL
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Randee Anshutz Nutrition And Massage Therapy — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Colleagues at Randee Anshutz Nutrition and Massage Therapy

Clinicians the CMS Doctors & Clinicians file lists under the same group practice.

Other providers in Bend