Mary S Ames, R.D.

Individual provider Active NPI Registered Dietitian · Tulsa, OK

NPI 1174590145 · NPPES record last updated Sep 23, 2010

Key facts

NPI
1174590145
Entity type
Individual (NPI type 1)
Primary specialty
Registered Dietitian 133V00000X
License
1181 (OK)
Practice address
6160 S Yale Ave
3Rd Floor
Tulsa, OK 74136-1930
Phone
(918) 499-4700
NPI assigned
Mar 8, 2006
Sex
Female
Sole proprietor
No

Organizations & group practices 2

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
1181OKMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
St John Medical Center Inc Past Accepting new patients
Springer Clinic Inc Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 1181 OK Yes

Addresses

Primary practice location

6160 S Yale Ave
3Rd Floor
Tulsa, OK 74136-1930

Mailing address

6600 S Yale Ave
Ste 1400
Tulsa, OK 74136-3310
Phone (918) 488-6001

Other providers in Tulsa, OK

All providers in Tulsa, OK · Registered Dietitian in Oklahoma

Sources for this page

Verify at the official NPI Registry.