Organization Active NPI

Jennifer Scoggins Ms, Rd/LD, L.L.C.

  • Registered Dietitian
  • Bixby, OK
National Provider Identifier
1083104483
Registry record updated May 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
889 Issued in OK
Legal business name
JENNIFER SCOGGINS MS, RD/LD, L.L.C.
Practice address
20164 S 137TH East Ave
Bixby, OK 74008
Phone
(918) 261-3438
Fax
(918) 970-4193
NPI assigned
May 11, 2018
Last updated
May 11, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2018

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

Authorized official

Name
Mrs. Jennifer Scoggins, RD/LDNPI 1164524849
Title
Rd/LD
Phone
(918) 261-3438

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 Dietitian 133V00000X 889 OK Primary

Addresses

Primary practice location

20164 S 137TH East Ave
Bixby, OK 74008

Mailing address

20164 S 137TH East Ave
Bixby, OK 74008-6660
Phone (918) 261-3438

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180702000572 OK Part B Supplier - Clinic/Group Practice 6204182421 Receives reassigned benefits from 1 practitioner
Practice locations: Bixby, OK

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1525996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525996800000",
    "number": "1083104483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20164 S 137TH EAST AVE",
            "city": "BIXBY",
            "state": "OK",
            "postal_code": "740086660",
            "telephone_number": "918-261-3438",
            "fax_number": "918-970-4193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20164 S 137TH EAST AVE",
            "city": "BIXBY",
            "state": "OK",
            "postal_code": "74008",
            "telephone_number": "918-261-3438",
            "fax_number": "918-970-4193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNIFER SCOGGINS MS, RD/LD, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-11",
        "last_updated": "2018-05-11",
        "status": "A",
        "authorized_official_last_name": "SCOGGINS",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "RD/LD",
        "authorized_official_telephone_number": "918-261-3438",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RD/LD"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "OK",
            "license": "889",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bixby, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2018; 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.

Verify at the official NPI Registry.