Kathyrn Bandy, MS RD LD

Primary specialty

Oncology Nutrition Registered DietitianTaxonomy code 133VN1301X

License

927863 Issued in OK

Practice address

10109 E 79TH St
Tulsa, OK 74133-4564

Phone

(918) 636-7141

NPI assigned

Apr 15, 2020

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1586908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587427200000",
    "number": "1407475890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10109 E 79TH ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741334564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10109 E 79TH ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741334564",
            "telephone_number": "918-636-7141"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4632 S Gary Ave",
            "address_purpose": "LOCATION",
            "city": "Tulsa",
            "state": "OK",
            "postal_code": "741055225",
            "country_code": "US",
            "telephone_number": "918-286-5368",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BANDY",
        "first_name": "KATHYRN",
        "credential": "MS RD LD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-15",
        "last_updated": "2020-04-21",
        "certification_date": "2020-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133VN1301X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Oncology",
            "state": "OK",
            "license": "927863",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RD/LD",
            "identifier": "927863",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Abbey Elizabeth Bandeh, OTR/L
• Kalifa Dara Bandele, BA
• Precious Bandele
• Richard Bandl
• Jaqueline May Bandy
• Chandramouli Banerjee, M.D.
• Sonali Banerjee, D.M.D
• Thomas Morgan Banes, PHARMD.
• Momen Banifadel, MD
• Sarah Ann Bankhead, MD

• Registered Dietitian in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Registered Dietitian in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 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.

Verify at the official NPI Registry.