Kelli M Warren, RD/LD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

539 Issued in OK

Practice address

27761 E 61St St S
Broken Arrow, OK 74014-8515

Phone

(918) 357-1501

Fax

(918) 357-1501

NPI assigned

Dec 1, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Nutrition Management Services, Inc.

  • Registered Dietitian
  • Broken Arrow, OK
  • NPI 1801403894

  Dietitian, Registered

  NPD Authorized official

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

{
    "created_epoch": "1259625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1259625600000",
    "number": "1154659290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1216 E KENOSHA ST # 265",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740122007",
            "telephone_number": "918-357-1501",
            "fax_number": "918-357-1501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27761 E 61ST ST S",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740148515",
            "telephone_number": "918-357-1501",
            "fax_number": "918-357-1501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARREN",
        "first_name": "KELLI",
        "middle_name": "M",
        "credential": "RD/LD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-12-01",
        "last_updated": "2009-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "OK",
            "license": "539",
            "primary": true
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "AR",
            "license": "910",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Nicole Ward, M.S. CCC-SLP
• James Perry Ward, M.D.
• Rachelle Ward, MOT, OTR/L
• Shelley M Ware, LCSW
• Warren Clinic Inc
• Greta Arlene Warta, D.O.
• Lynda Harris Washington, OTL
• Kenneth Wayne Waters, PT, MBA
• Nicole Watkins
• Stephanie Watkins

• Registered Dietitian in Broken Arrow, OK
• Providers in Broken Arrow, OK by specialty
• Registered Dietitian in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.