Active NPI
Lori Mathews, RD,LD
- Registered Dietitian
- Oklahoma City, OK
National Provider Identifier
1326646852
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 992
- Practice address
- 1611 N Broadway Ave
Oklahoma City, OK 73103-4610 - Phone
- (405) 204-5157
- NPI assigned
- Oct 16, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 | 992 | OK | Primary |
Addresses
Primary practice location
1611 N Broadway Ave
Oklahoma City, OK 73103-4610
Mailing address
4 NE 10TH St Unit 157
Oklahoma City, OK 73104-1402
Phone (405) 204-5157
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 |
|---|---|---|---|
| 992 | OK | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1602806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678406400000",
"number": "1326646852",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4 NE 10TH ST UNIT 157",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731041402",
"telephone_number": "405-204-5157"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1611 N BROADWAY AVE",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731034610",
"telephone_number": "405-204-5157"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATHEWS",
"first_name": "LORI",
"credential": "RD,LD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-10-16",
"last_updated": "2023-03-10",
"certification_date": "2023-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "OK",
"license": "992",
"primary": true
}
],
"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 Mar 10, 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.