Nutrition Counseling Clinic

Organization Active NPI Registered Dietitian · Oklahoma City, OK

NPI 1124302302 · NPPES record last updated Oct 5, 2011

Key facts

NPI
1124302302
Entity type
Organization (NPI type 2)
Primary specialty
Registered Dietitian 133V00000X
Legal business name
NUTRITION COUNSELING CLINIC
Practice address
1200 N Stonewall Ave
Ahb 1082
Oklahoma City, OK 73117-1215
Phone
(405) 271-2866
Fax
(405) 271-3360
NPI assigned
Oct 5, 2011
Organization subpart
No

Authorized official

Name
Mrs. Patsy Ann Johnson
Title
Administrative Coordinator
Phone
(405) 271-2113

Corporate family (same tax ID) 24

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Tax ID family
Sallisaw State Veterans Home (140 organizations share this tax ID)

Locations

1200 N Stonewall Ave
#3057
Oklahoma City, OK 73117

1200 N Stonewall Ave
#1082
Oklahoma City, OK 73117
Phone (405) 271-2866

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian
Group: 193400000X SINGLE SPECIALTY GROUP
133V00000X Yes

Addresses

Primary practice location

1200 N Stonewall Ave
Ahb 1082
Oklahoma City, OK 73117-1215

Mailing address

1200 N Stonewall Ave
Ahb 3057
Oklahoma City, OK 73117-1215
Phone (405) 271-2113

Other providers in Oklahoma City, OK

All providers in Oklahoma City, OK · Registered Dietitian in Oklahoma

Sources for this page

Verify at the official NPI Registry.