Active NPI
Ruta Reed, RD, LD
- Nutrition Education Nutritionist
- Muskogee, OK
National Provider Identifier
1124327283
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutrition Education Nutritionist
- License
- 1755
- Practice address
- 300 Rockefeller Dr
Muskogee, OK 74401-5075 - Phone
- (918) 682-5501
- Fax
- (918) 684-3390
- NPI assigned
- Mar 15, 2011
- Last updated
- Jun 12, 2012
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutrition Education Nutritionist | 133NN1002X | 1755 | OK | Primary |
| Registered Dietitian | 133V00000X | 1755 | OK |
Addresses
Primary practice location
300 Rockefeller Dr
Muskogee, OK 74401-5075
Mailing address
300 Rockefeller Dr
Muskogee, OK 74401-5075
Phone (918) 682-5501
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 370025 | Medicaid | OK |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1755 | OK | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1300147200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1339459200000",
"number": "1124327283",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 ROCKEFELLER DR",
"city": "MUSKOGEE",
"state": "OK",
"postal_code": "744015075",
"telephone_number": "918-682-5501",
"fax_number": "918-682-3390"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 ROCKEFELLER DR",
"city": "MUSKOGEE",
"state": "OK",
"postal_code": "744015075",
"telephone_number": "918-682-5501",
"fax_number": "918-684-3390"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REED",
"first_name": "RUTA",
"credential": "RD, LD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-03-15",
"last_updated": "2012-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "133NN1002X",
"taxonomy_group": "",
"desc": "Nutritionist, Nutrition, Education",
"state": "OK",
"license": "1755",
"primary": true
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "OK",
"license": "1755",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "370025",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Muskogee, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.