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 a 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

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