Heather Elaine Alexander, MS, RD/LD

Individual provider Active NPI Registered Dietitian · Nowata, OK

NPI 1316217847 · NPPES record last updated Dec 30, 2011

Key facts

NPI
1316217847
Entity type
Individual (NPI type 1)
Primary specialty
Registered Dietitian 133V00000X
License
1773 (OK)
Practice address
1020 Lenape Dr
Nowata, OK 74048-4403
Phone
(918) 273-7526
Fax
(918) 273-9979
NPI assigned
Dec 30, 2011
Sex
Female
Sole proprietor
No

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.

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
1773OKMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Mobile Medical Consultants, PLLC Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 1773 OK Yes

Addresses

Primary practice location

1020 Lenape Dr
Nowata, OK 74048-4403

Mailing address

1020 Lenape Dr
Nowata, OK 74048-4403
Phone (918) 273-7526

Other providers in Nowata, OK

All providers in Nowata, OK · Registered Dietitian in Oklahoma

Sources for this page

Verify at the official NPI Registry.