Active NPI
Olivia Jean Trout, MS, RD
- Registered Dietitian
- Oklahoma City, OK
National Provider Identifier
1326665548
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 2517
- Practice address
- 4311 SE 57TH St
Oklahoma City, OK 73135-3308 - Phone
- (405) 996-7711
- NPI assigned
- Jul 3, 2020
- 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 | 2517 | OK | Primary |
Addresses
Primary practice location
4311 SE 57TH St
Oklahoma City, OK 73135-3308
Mailing address
1920 E 2ND St Apt 1110
Edmond, OK 73034-6353
Phone (405) 996-7711
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)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2517 | OK | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1593734400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1596067200000",
"number": "1326665548",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1920 E 2ND ST APT 1110",
"city": "EDMOND",
"state": "OK",
"postal_code": "730346353",
"telephone_number": "405-996-7711"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4311 SE 57TH ST",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731353308",
"telephone_number": "405-996-7711"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TROUT",
"first_name": "OLIVIA",
"middle_name": "JEAN",
"name_prefix": "Mrs.",
"credential": "MS, RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-07-03",
"last_updated": "2020-07-30",
"certification_date": "2020-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "OK",
"license": "2517",
"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 Jul 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.