Active NPI
Michele Hale, RD
- Registered Dietitian
- Tulsa, OK
National Provider Identifier
1275249161
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 2796
- Practice address
- 744 W 9TH St
Tulsa, OK 74127-9907 - Phone
- (918) 599-5744
- NPI assigned
- Jan 25, 2023
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 2796 | OK | Primary |
Addresses
Primary practice location
744 W 9TH St
Tulsa, OK 74127-9907
Mailing address
3117 W El Dorado St
Broken Arrow, OK 74011-5833
Phone (918) 814-6682
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 86109894 | Other | COMMISSION ON DIETETIC REGISTRATION |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2796 | OK | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1674604800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1682035200000",
"number": "1275249161",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3117 W EL DORADO ST",
"city": "BROKEN ARROW",
"state": "OK",
"postal_code": "740115833",
"telephone_number": "918-814-6682"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "744 W 9TH ST",
"city": "TULSA",
"state": "OK",
"postal_code": "741279907",
"telephone_number": "918-599-5744"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HALE",
"first_name": "MICHELE",
"name_prefix": "Mrs.",
"credential": "RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-01-25",
"last_updated": "2023-04-21",
"certification_date": "2023-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "OK",
"license": "2796",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMMISSION ON DIETETIC REGISTRATION",
"identifier": "86109894",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Tulsa, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.