Organization Active NPI

Meals by Joleen LLC

  • Registered Dietitian
  • Broken Arrow, OK
National Provider Identifier
1003380791
Registry record updated Sep 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Legal business name
MEALS BY JOLEEN LLC
Practice address
6336 S 116TH East Ave
Broken Arrow, OK 74012-1251
Phone
(918) 280-8456
Fax
(855) 438-6802
NPI assigned
Jan 15, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Joleen WilsonNPI 1528293586
Title
Registered Dietitian, Owner
Phone
(918) 280-8456

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 133V00000X Primary

Addresses

Primary practice location

6336 S 116TH East Ave
Broken Arrow, OK 74012-1251

Mailing address

PO Box 2735
Broken Arrow, OK 74013-2735
Phone (918) 280-8456

Other identifiers 1

IdentifierTypeStateIssuer
1842OtherOKLD

Other names 1

  • joleenRD Other name

National Provider Directory

National Provider Directory

Locations

1701 S Main St
Unit 2735
Broken Arrow, OK 74013

8988 S Sheridan Rd
Ste F
Tulsa, OK 74133
Phone (918) 861-4973

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1547510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756771200000",
    "number": "1003380791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2735",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740132735",
            "telephone_number": "918-280-8456",
            "fax_number": "855-438-6802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6336 S 116TH EAST AVE",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740121251",
            "telephone_number": "918-280-8456",
            "fax_number": "855-438-6802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEALS BY JOLEEN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-15",
        "last_updated": "2025-09-02",
        "certification_date": "2023-12-14",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "JOLEEN",
        "authorized_official_title_or_position": "REGISTERED DIETITIAN, OWNER",
        "authorized_official_telephone_number": "918-280-8456"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LD",
            "identifier": "1842",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "joleenRD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Broken Arrow, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.