Active NPI
Tiffany M Nicar
- Registered Dietitian
- Oklahoma City, OK
National Provider Identifier
1376222521
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 1551
- Practice address
- 3030 NW Expressway Ste 300
#690
Oklahoma City, OK 73112-5400 - Phone
- (405) 808-5697
- NPI assigned
- Jul 14, 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 | 1551 | OK | Primary |
Addresses
Primary practice location
3030 NW Expressway Ste 300
#690
Oklahoma City, OK 73112-5400
Mailing address
3030 NW Expressway Ste 300
#690
Oklahoma City, OK 73112-5400
Phone (405) 808-5697
Other practice location 1
3100 SW 89th St
Oklahoma City, OK 73159-7900
Phone (405) 486-6542
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1551 | OK | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nourish, Inc. | Dietitian, Registered | Past | Accepting new patients |
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1689292800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727049600000",
"number": "1376222521",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3030 NW EXPRESSWAY STE 300",
"address_2": "#690",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731125400",
"telephone_number": "405-808-5697"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3030 NW EXPRESSWAY STE 300",
"address_2": "#690",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731125400",
"telephone_number": "405-808-5697"
}
],
"practiceLocations": [
{
"address_1": "3100 SW 89th St",
"address_purpose": "LOCATION",
"city": "Oklahoma City",
"state": "OK",
"postal_code": "731597900",
"country_code": "US",
"telephone_number": "405-486-6542",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NICAR",
"first_name": "TIFFANY",
"middle_name": "M",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-07-14",
"last_updated": "2024-09-23",
"certification_date": "2024-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "OK",
"license": "1551",
"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 Sep 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.