Organization Active NPI

J. Thomas Nutrition LLC

  • Registered Dietitian
  • Oklahoma City, OK
National Provider Identifier
1124866454
Registry record updated Jun 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Legal business name
J. THOMAS NUTRITION LLC
Practice address
924 NW 58TH St Ste 102
Oklahoma City, OK 73118-5905
Phone
(405) 445-8977
NPI assigned
Jul 19, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2025

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

Authorized official

Name
Jaisa Thomas, RD, LDNPI 1619731213
Title
Dietitian
Phone
(405) 445-8977

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 133V00000X Primary

Addresses

Primary practice location

924 NW 58TH St Ste 102
Oklahoma City, OK 73118-5905

Mailing address

924 NW 58TH St Ste 102
Oklahoma City, OK 73118-5905
Phone (405) 445-8977

Other names 1

  • Thomas Nutrition & Dietetics Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241231001780 OK Part B Supplier - Clinic/Group Practice 0648707794 Receives reassigned benefits from 1 practitioner
Practice locations: Oklahoma City, OK

National Provider Directory

National Provider Directory

Locations

924 NW 58th St
Ste 102
Oklahoma City, OK 73118
Phone (405) 215-9514

7 NE 6th St
Ste 100
Oklahoma City, OK 73104
Phone (405) 496-0623

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1721347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749427200000",
    "number": "1124866454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "924 NW 58TH ST STE 102",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731185905",
            "telephone_number": "405-445-8977",
            "fax_number": "405-212-9254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "924 NW 58TH ST STE 102",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731185905",
            "telephone_number": "405-445-8977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J. THOMAS NUTRITION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-19",
        "last_updated": "2025-06-09",
        "certification_date": "2025-06-09",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "JAISA",
        "authorized_official_title_or_position": "DIETITIAN",
        "authorized_official_telephone_number": "405-445-8977",
        "authorized_official_credential": "RD, LD"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Thomas Nutrition & Dietetics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.