Active NPI
Anna Christine Sobol, RD
- Registered Dietitian
- Tulsa, OK
National Provider Identifier
1003632050
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 86372442
- Practice address
- 550 S Peoria Ave
Tulsa, OK 74120-3820 - Phone
- (918) 382-2221
- Fax
- (918) 382-1285
- NPI assigned
- Nov 25, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 86372442 | Primary |
Addresses
Primary practice location
550 S Peoria Ave
Tulsa, OK 74120-3820
Mailing address
550 S Peoria Ave
Tulsa, OK 74120-3820
Phone (918) 382-2221
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Indian Health Care Resource Center | Current | Accepting new patients | |
| Indian Health Care Resource Center of Tulsa, Inc. | Past | Accepting new patients |
Locations
550 S Peoria Ave
Tulsa, OK 74120
Phone (918) 382-1207
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinic/Center
- Tulsa, OK
- NPI 1427034958
-
- Pharmacy
- Tulsa, OK
- NPI 1457447609
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1732492800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1732492800000",
"number": "1003632050",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "550 S PEORIA AVE",
"city": "TULSA",
"state": "OK",
"postal_code": "741203820",
"telephone_number": "918-382-2221",
"fax_number": "918-382-1285"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "550 S PEORIA AVE",
"city": "TULSA",
"state": "OK",
"postal_code": "741203820",
"telephone_number": "918-382-2221",
"fax_number": "918-382-1285"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOBOL",
"first_name": "ANNA",
"middle_name": "CHRISTINE",
"credential": "RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-11-25",
"last_updated": "2024-11-25",
"certification_date": "2024-11-25",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": null,
"license": "86372442",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tulsa, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.