Active NPI
Stacey L Rhea, RD, LD, CDCES
- Registered Dietitian
- Oklahoma City, OK
National Provider Identifier
1194544536
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 3513
- Practice address
- 4140 W Memorial Rd Ste 321
Oklahoma City, OK 73120-8300 - Phone
- (405) 748-4726
- Fax
- (405) 607-8497
- NPI assigned
- Oct 3, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 3513 | OK | Primary |
| Registered Dietitian | 133V00000X | DT86687 | TX | |
| Registered Dietitian | 133V00000X | 3163 | AR |
Addresses
Primary practice location
4140 W Memorial Rd Ste 321
Oklahoma City, OK 73120-8300
Mailing address
4140 W Memorial Rd Ste 321
Oklahoma City, OK 73120-8300
Phone (405) 748-4726
Other practice location 1
3323 Chandler Hollow Ln
Missouri City, TX 77459-5113
Phone (828) 558-1259
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260518000532 | AR | Order and Referring Only - Obstetrics/Gynecology | 7315416591 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DT86687 | TX | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cloud Health Medical Group of California, P.C. | Past | Accepting new patients | |
| Cloud Health Medical Group, P.a. | Past | Accepting new patients | |
| Mochi Medical Ca PC | Past | Accepting new patients | |
| Fay Nutrition | Dietitian, Registered | Past | Accepting new patients |
| Saint Francis Medical Center | Past | Accepting new patients |
Organizations & group practices 5
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.
-
- Internal Medicine Physician
- San Francisco, CA
- NPI 1194404327
-
- Internal Medicine Physician
- White Plains, NY
- NPI 1528744935
-
dba Mochi Medical West
- Obesity Medicine (Family Medicine) Physician
- San Francisco, CA
- NPI 1174303374
-
- Internal Medicine Physician
- Cape Girardeau, MO
- NPI 1578513016
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1727913600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788220800000",
"number": "1194544536",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4140 W MEMORIAL RD STE 321",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731208300",
"telephone_number": "405-748-4726",
"fax_number": "405-607-8497"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4140 W MEMORIAL RD STE 321",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731208300",
"telephone_number": "405-748-4726",
"fax_number": "405-607-8497"
}
],
"practiceLocations": [
{
"address_1": "3323 Chandler Hollow Ln",
"address_purpose": "LOCATION",
"city": "Missouri City",
"state": "TX",
"postal_code": "774595113",
"country_code": "US",
"telephone_number": "828-558-1259",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RHEA",
"first_name": "STACEY",
"middle_name": "L",
"credential": "RD, LD, CDCES",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-10-03",
"last_updated": "2026-09-01",
"certification_date": "2026-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "OK",
"license": "3513",
"primary": true
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "TX",
"license": "DT86687",
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "AR",
"license": "3163",
"primary": false
}
],
"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 Sep 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.