Individual provider Active NPI

Lara Renee Veazey, M.A., R.D./L.D.

  • Registered Dietitian
  • Tulsa, OK
National Provider Identifier
1447499660
Registry record updated Nov 3, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
1636 Issued in OK
Practice address
2021 S Lewis Ave
Suite 325
Tulsa, OK 74104-5733
Phone
(918) 749-9077
Fax
(918) 749-4041
NPI assigned
Feb 11, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 1636 OK Primary

Addresses

Primary practice location

2021 S Lewis Ave
Suite 325
Tulsa, OK 74104-5733

Mailing address

2021 S Lewis Ave
Suite 325
Tulsa, OK 74104-5733
Phone (918) 749-9077

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
1636OKMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Nutrition Consultants of Tulsa, LLC Dietitian, Registered PastSince Nov 22, 2016 Accepting new patients
Therapeutic Connections Past Accepting new patients

Organizations & group practices 2

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": "1234310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1257206400000",
    "number": "1447499660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2021 S LEWIS AVE",
            "address_2": "SUITE 325",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741045733",
            "telephone_number": "918-749-9077",
            "fax_number": "918-749-4041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2021 S LEWIS AVE",
            "address_2": "SUITE 325",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741045733",
            "telephone_number": "918-749-9077",
            "fax_number": "918-749-4041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VEAZEY",
        "first_name": "LARA",
        "middle_name": "RENEE",
        "name_prefix": "Miss",
        "credential": "M.A., R.D./L.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-02-11",
        "last_updated": "2009-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "OK",
            "license": "1636",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Nov 3, 2009; 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.