Active NPI
Nourished by Rachel, LLC
- Registered Dietitian
- Tulsa, OK
National Provider Identifier
1417640681
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Legal business name
- NOURISHED BY RACHEL, LLC
- Practice address
- 2838 S 73Rd East Ave
Tulsa, OK 74129-6286 - Phone
- (918) 638-9106
- NPI assigned
- Jun 1, 2023
- Last updated
- Jul 21, 2023
- 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
- Rachel R Benight, RD
- Title
- Owner
- Phone
- (918) 638-9106
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | NU | Primary |
Addresses
Primary practice location
2838 S 73Rd East Ave
Tulsa, OK 74129-6286
Mailing address
2838 S 73Rd East Ave
Tulsa, OK 74129-6286
Phone (918) 638-9106
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417349291 | Medicaid | OK |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1685577600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1689897600000",
"number": "1417640681",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2838 S 73RD EAST AVE",
"city": "TULSA",
"state": "OK",
"postal_code": "741296286",
"telephone_number": "918-638-9106"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2838 S 73RD EAST AVE",
"city": "TULSA",
"state": "OK",
"postal_code": "741296286",
"telephone_number": "918-638-9106"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NOURISHED BY RACHEL, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-06-01",
"last_updated": "2023-07-21",
"certification_date": "2023-07-21",
"status": "A",
"authorized_official_last_name": "BENIGHT",
"authorized_official_first_name": "RACHEL",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "918-638-9106",
"authorized_official_credential": "RD"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1417349291",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tulsa, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.