Active NPI
Kamela Lyniece Ratcliff, MS, RD/LD
- Registered Dietitian
- Chickasha, OK
National Provider Identifier
1083804488
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 861
- Practice address
- 1428 W Kansas Ave
Chickasha, OK 73018-2930 - Phone
- (405) 224-9443
- Fax
- (405) 224-1190
- NPI assigned
- Jul 31, 2007
- Last updated
- Jul 31, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 | 861 | OK | Primary |
Addresses
Primary practice location
1428 W Kansas Ave
Chickasha, OK 73018-2930
Mailing address
1428 W Kansas Ave
Chickasha, OK 73018-2930
Phone (405) 224-9443
Other names 1
- Kami Nelson
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 861 | OK | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mobile Medical Consultants, PLLC | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Anesthesia Services
- Anesthesiology Physician
- Chickasha, OK
- NPI 1750370268
-
dba Itinerant Primary Care
- General Practice Physician
- Dallas, TX
- NPI 1346839859
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185840000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1185840000000",
"number": "1083804488",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1428 W KANSAS AVE",
"city": "CHICKASHA",
"state": "OK",
"postal_code": "730182930",
"telephone_number": "405-224-9443",
"fax_number": "405-224-1190"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1428 W KANSAS AVE",
"city": "CHICKASHA",
"state": "OK",
"postal_code": "730182930",
"telephone_number": "405-224-9443",
"fax_number": "405-224-1190"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RATCLIFF",
"first_name": "KAMELA",
"middle_name": "LYNIECE",
"name_prefix": "Mrs.",
"credential": "MS, RD/LD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-07-31",
"last_updated": "2007-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "OK",
"license": "861",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KAMI",
"last_name": "NELSON",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Chickasha, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2007; 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.