Individual provider Active NPI

Leah Rachel Loyd, RDN/LD

  • Registered Dietitian
  • Bartlesville, OK
National Provider Identifier
1104325844
Registry record updated Sep 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
2330 Issued in OK
Practice address
601 SW Jennings Ave
Bartlesville, OK 74003-4429
Phone
(918) 553-1188
Fax
(855) 873-6538
NPI assigned
Feb 8, 2018
Last updated
Sep 6, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 2330 OK Primary

Addresses

Primary practice location

601 SW Jennings Ave
Bartlesville, OK 74003-4429

Mailing address

11560 N 135TH East Ave Ste 101
Owasso, OK 74055-5755
Phone (918) 553-1188

Other names 1

  • Leah Rachel Miller Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220922001217 OK Practitioner - Registered Dietitian Or Nutrition Professional 2668857913 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kavanah Medical LLCGroup PAC ID 9032544226, 7 clinicians

Practice addresses (Care Compare)

11560 N 135TH E Ave
101 RX Health and Wellness
Owasso, OK 74055-9044
Phone (918) 553-1188

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2330OKMDRegistered Dietitian
2230OKMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Kavanah Medical LLC CurrentSince Oct 24, 2022 Accepting new patients

Locations

1073 NE Washington Blvd
Bartlesville, OK 74006

1073 NE Washington Blvd
RX Health and Wellness
Bartlesville, OK 74006

1073 NE Washington Blvd
RX Health and Wellness
Bartlesville, OK 74006
Phone (918) 876-6000

601 SW Jennings Ave
Bartlesville, OK 74003
Phone (918) 553-1188

1755 N Highway 66
Ste G
Catoosa, OK 74015
Phone (918) 260-7631

11560 N 135th East Ave
Ste 101
Owasso, OK 74055
Phone (918) 533-1188

11560 N 135th East Ave
Ste 101A
Owasso, OK 74055
Phone (918) 553-6770

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/20421/brand/1/csg/1/fhir/r4

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1518048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662422400000",
    "number": "1104325844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11560 N 135TH EAST AVE STE 101",
            "city": "OWASSO",
            "state": "OK",
            "postal_code": "740555755",
            "telephone_number": "918-553-1188",
            "fax_number": "855-873-6538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 SW JENNINGS AVE",
            "city": "BARTLESVILLE",
            "state": "OK",
            "postal_code": "740034429",
            "telephone_number": "918-553-1188",
            "fax_number": "855-873-6538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOYD",
        "first_name": "LEAH",
        "middle_name": "RACHEL",
        "credential": "RDN/LD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-08",
        "last_updated": "2022-09-06",
        "certification_date": "2022-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "OK",
            "license": "2330",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LEAH",
            "last_name": "MILLER",
            "middle_name": "RACHEL",
            "credential": "RD LD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bartlesville, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.