Active NPI
Tomoko Okada, MS, RD, CNSC, CDN
- Metabolic Nutrition Registered Dietitian
- Wildwood, MO
National Provider Identifier
1194011726
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Metabolic Nutrition Registered Dietitian
- License
- 006498-1
- Practice address
- 1451 Ridgetree Trails Dr
Wildwood, MO 63021-5944 - Phone
- (917) 566-2151
- NPI assigned
- Jun 22, 2011
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Metabolic Nutrition Registered Dietitian | 133VN1006X | 006498-1 | NY | Primary |
Addresses
Primary practice location
1451 Ridgetree Trails Dr
Wildwood, MO 63021-5944
Mailing address
1451 Ridgetree Trails Dr
Wildwood, MO 63021-5944
Phone (917) 566-2151
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)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 006498-1 | NY | MD | Optician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1308700800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1455494400000",
"number": "1194011726",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1451 RIDGETREE TRAILS DR",
"city": "WILDWOOD",
"state": "MO",
"postal_code": "630215944",
"telephone_number": "917-566-2151"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1451 RIDGETREE TRAILS DR",
"city": "WILDWOOD",
"state": "MO",
"postal_code": "630215944",
"telephone_number": "917-566-2151"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OKADA",
"first_name": "TOMOKO",
"credential": "MS, RD, CNSC, CDN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-06-22",
"last_updated": "2016-02-15",
"status": "A"
},
"taxonomies": [
{
"code": "133VN1006X",
"taxonomy_group": "",
"desc": "Dietitian, Registered, Nutrition, Metabolic",
"state": "NY",
"license": "006498-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wildwood, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.