Active NPI
Core Nutrition Group, LLC
Doing business as Core Nutrition Group
- Registered Dietitian
- Sand Springs, OK
National Provider Identifier
1386552446
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Legal business name
- CORE NUTRITION GROUP, LLC
- Doing business as
- Core Nutrition Group
- Practice address
- 109 N Garfield Ave
Sand Springs, OK 74063-7214 - Phone
- (405) 301-4195
- NPI assigned
- Aug 31, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Brett Dawson Wilkinson, RD/LD
- Title
- Co-Owner/Registered Dietitian
- Phone
- (405) 301-4195
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | Primary |
Addresses
Primary practice location
109 N Garfield Ave
Sand Springs, OK 74063-7214
Mailing address
511 N Cleveland Ave
Sand Springs, OK 74063-7134
Phone (405) 301-4195
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200884370A | Medicaid | OK |
Other names 1
- Core Nutrition Group
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1788134400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1788134400000",
"number": "1386552446",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "511 N CLEVELAND AVE",
"city": "SAND SPRINGS",
"state": "OK",
"postal_code": "740637134",
"telephone_number": "405-301-4195"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "109 N GARFIELD AVE",
"city": "SAND SPRINGS",
"state": "OK",
"postal_code": "740637214",
"telephone_number": "405-301-4195"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CORE NUTRITION GROUP, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-08-31",
"last_updated": "2026-08-31",
"certification_date": "2026-08-31",
"status": "A",
"authorized_official_last_name": "WILKINSON",
"authorized_official_first_name": "BRETT",
"authorized_official_middle_name": "DAWSON",
"authorized_official_title_or_position": "CO-OWNER/REGISTERED DIETITIAN",
"authorized_official_telephone_number": "405-301-4195",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "RD/LD"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200884370A",
"state": "OK"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Core Nutrition Group",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Sand Springs, OK
- Composure Solution LLC
- Conhold of Sand Springs, LLC (Sand Springs Nursing and Rehabilitation)
- Christine Lee Ann Cook
- Diane M. Cooper
- Core 6 Therapeutic Services
- James Nelson Cornwell, D.O.
- Counseling & Recovery Services of Oklahoma, Inc.
- Counseling and Recovery Services of Oklahoma, Inc.
- Brittiany N Coyer, APRN-CNP
- Alyson Paige Cramer, PTA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.