Individual provider Active NPI

Umo Callins, MS,RD/LD

  • Registered Dietitian
  • Edmond, OK
National Provider Identifier
1215269592
Registry record updated Aug 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
1609 Issued in OK
Practice address
16308 Ironstone Place
Edmond, OK 73013
Phone
(405) 885-0270
Fax
(405) 300-4492
NPI assigned
Feb 11, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 31, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 1609 OK Primary

Addresses

Primary practice location

16308 Ironstone Place
Edmond, OK 73013

Mailing address

16404 Josiah PL
Edmond, OK 73013-9730
Phone (405) 837-7003

Other identifiers 1

IdentifierTypeStateIssuer
200398760AMedicaidOK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131209001226 OK Practitioner - Registered Dietitian Or Nutrition Professional 9335376888 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Well Rooted Health and Nutrition CurrentSince Sep 24, 2019 Accepting new patients

Locations

16308 Ironstone Pl
Edmond, OK 73013
Phone (405) 748-0234

3330 NW 56th St
Ste 608
Oklahoma City, OK 73112
Phone (405) 242-2101

3555 NW 58th St
Ste 910W
Oklahoma City, OK 73112
Phone (405) 653-9161

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1265846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756598400000",
    "number": "1215269592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16404 JOSIAH PL",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730139730",
            "telephone_number": "405-837-7003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16308 IRONSTONE PLACE",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "73013",
            "telephone_number": "405-885-0270",
            "fax_number": "405-300-4492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALLINS",
        "first_name": "UMO",
        "name_prefix": "Mrs.",
        "credential": "MS,RD/LD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-02-11",
        "last_updated": "2025-08-31",
        "certification_date": "2025-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "OK",
            "license": "1609",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200398760A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Edmond, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.