Nutrition by Petra

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

2053 Issued in OK

Legal business name

NUTRITION BY PETRA

Practice address

3261 24TH Ave NW Ste 101
Norman, OK 73069-6666

Phone

(405) 492-6282

NPI assigned

Jan 23, 2018

Last updated

Mar 17, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Petra Colindres, MA, RDN/LD, IBCLCNPI 1407232317

Title

Owner, Dietitian

Phone

(405) 492-6282

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Petra Hayley Colindres, MA,RDN/LD,IBCLC,CPT

  • Registered Dietitian
  • Okc, OK
  • NPI 1407232317
  Authorized official Same address or phone

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

{
    "created_epoch": "1516665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1316445570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10913 ROCK RIDGE RD",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731205222",
            "telephone_number": "858-352-8354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3261 24TH AVE NW STE 101",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730696666",
            "telephone_number": "405-492-6282"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "408 S Santa Fe Ave",
            "address_purpose": "LOCATION",
            "city": "Edmond",
            "state": "OK",
            "postal_code": "730036336",
            "country_code": "US",
            "telephone_number": "405-492-6282",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NUTRITION BY PETRA",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-23",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "COLINDRES",
        "authorized_official_first_name": "PETRA",
        "authorized_official_title_or_position": "OWNER, DIETITIAN",
        "authorized_official_telephone_number": "405-492-6282",
        "authorized_official_credential": "MA, RDN/LD, IBCLC"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": "OK",
            "license": "2053",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1407232317",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1912414947",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• NRHS Physician Office Network
• NRHS Radiology Associates
• NRHS Rheumatology Associates
• NRHS West Family Medicine Associates
• Nurture Counseling, LLC
• Nvision Unlimited Eyewear, LLC
• Mirimma L Nwosu
• Alexia Nzali Nzali
• Christopher U. O'Banye, PHD, CLINICAL PSYCHO
• Michael O'Brien, CMII

• Registered Dietitian in Norman, OK
• Providers in Norman, OK by specialty
• Registered Dietitian in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.