Active NPI
Donna May Jackson, MS. RD/LD
- Registered Dietitian
- Claremore, OK
National Provider Identifier
1104674241
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 1082
- Practice address
- 3000 Medical Pkwy
Claremore, OK 74017-1082 - Phone
- (918) 679-8911
- NPI assigned
- May 13, 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 | 1082 | OK | Primary |
Addresses
Primary practice location
3000 Medical Pkwy
Claremore, OK 74017-1082
Mailing address
3000 Medical Pkwy
Claremore, OK 74017-1082
Phone (918) 679-8911
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1715558400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715558400000",
"number": "1104674241",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3000 MEDICAL PKWY",
"city": "CLAREMORE",
"state": "OK",
"postal_code": "740171082",
"telephone_number": "918-679-8911"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3000 MEDICAL PKWY",
"city": "CLAREMORE",
"state": "OK",
"postal_code": "740171082",
"telephone_number": "918-679-8911"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACKSON",
"first_name": "DONNA",
"middle_name": "MAY",
"name_prefix": "Mrs.",
"credential": "MS. RD/LD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-05-13",
"last_updated": "2024-05-13",
"certification_date": "2024-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "OK",
"license": "1082",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Claremore, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.