Organization Active NPI

Core Nutrition Group, LLC

Doing business as Core Nutrition Group

  • Registered Dietitian
  • Sand Springs, OK
National Provider Identifier
1386552446
Registry record updated Aug 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
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

Updated by the provider on Aug 31, 2026

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)CodeLicenseStatePrimary
Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
200884370AMedicaidOK

Other names 1

  • Core Nutrition Group Doing business as

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

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.

Verify at the official NPI Registry.