Active NPI
Channa Lee Morton, REGISTERED DIETICIAN
- Registered Dietitian
- Miami, OK
National Provider Identifier
1124340880
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 871
- Practice address
- 7600 S Highway 69a
Miami, OK 74354-1016 - Phone
- (918) 542-1655
- Fax
- (918) 540-1685
- NPI assigned
- Feb 23, 2010
- 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 | 871 | OK | Primary |
Addresses
Primary practice location
7600 S Highway 69a
Miami, OK 74354-1016
Mailing address
PO Box 1498
Miami, OK 74355-1498
Phone (918) 542-1655
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 871 | OK | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northeastern Tribal Health System | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
- Miami, OK
- NPI 1639267065
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1266883200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1355875200000",
"number": "1124340880",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1498",
"city": "MIAMI",
"state": "OK",
"postal_code": "743551498",
"telephone_number": "918-542-1655",
"fax_number": "918-540-1685"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7600 S HIGHWAY 69A",
"city": "MIAMI",
"state": "OK",
"postal_code": "743541016",
"telephone_number": "918-542-1655",
"fax_number": "918-540-1685"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORTON",
"first_name": "CHANNA",
"middle_name": "LEE",
"credential": "REGISTERED DIETICIAN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-02-23",
"last_updated": "2012-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "OK",
"license": "871",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Miami, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 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.