Organization Active NPI

Dietitian on a Mission LLC

  • Registered Dietitian
  • Oklahoma City, OK
National Provider Identifier
1174155865
Registry record updated Jan 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Legal business name
DIETITIAN ON A MISSION LLC
Practice address
10400 Vineyard Blvd Ste B
Oklahoma City, OK 73120-3830
Phone
(405) 550-2899
Fax
(405) 242-5345
NPI assigned
Feb 10, 2020
Last updated
Jan 28, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2022

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

Authorized official

Name
Mrs. Brittany Claire Rundell, RDNPI 1053664714
Title
Owner, Registered Dietitian
Phone
(405) 550-2899

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 Dietitian 133V00000X Primary

Addresses

Primary practice location

10400 Vineyard Blvd Ste B
Oklahoma City, OK 73120-3830

Mailing address

720 N Songbird Way
Mustang, OK 73064-2086
Phone (405) 550-2899

National Provider Directory

National Provider Directory

Locations

10400 Vineyard Blvd
Ste B
Oklahoma City, OK 73120
Phone (405) 242-5305

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1581292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643328000000",
    "number": "1174155865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 N SONGBIRD WAY",
            "city": "MUSTANG",
            "state": "OK",
            "postal_code": "730642086",
            "telephone_number": "405-550-2899",
            "fax_number": "405-242-5345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10400 VINEYARD BLVD STE B",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731203830",
            "telephone_number": "405-550-2899",
            "fax_number": "405-242-5345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIETITIAN ON A MISSION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-10",
        "last_updated": "2022-01-28",
        "certification_date": "2022-01-28",
        "status": "A",
        "authorized_official_last_name": "RUNDELL",
        "authorized_official_first_name": "BRITTANY",
        "authorized_official_middle_name": "CLAIRE",
        "authorized_official_title_or_position": "OWNER, REGISTERED DIETITIAN",
        "authorized_official_telephone_number": "405-550-2899",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RD"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jan 28, 2022; 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.