Trivium Health & Nutrition PLLC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Legal business name

TRIVIUM HEALTH & NUTRITION PLLC

Practice address

309 NW 26TH St
Oklahoma City, OK 73103-3005

Phone

(405) 240-9240

Fax

(405) 296-1933

NPI assigned

Mar 29, 2022

Organization subpart

No

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

Authorized official

Name

Mrs. Madison Lynn Brackett, RD, LDNPI 1821683251

Title

Registered Dietitian

Phone

(405) 240-9240

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Madison Lynn Brackett, RD

  • Registered Dietitian
  • Oklahoma City, OK
  • NPI 1821683251

  Dietitian, Registered

  NPD Authorized official

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

{
    "created_epoch": "1648512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649376000000",
    "number": "1487394672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 NW 26TH ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731033005",
            "telephone_number": "405-240-9240",
            "fax_number": "405-296-1933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 NW 26TH ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731033005",
            "telephone_number": "405-240-9240",
            "fax_number": "405-296-1933"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11829 S Portland Ave",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "731709747",
            "country_code": "US",
            "telephone_number": "405-240-9240",
            "fax_number": "405-296-1933",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TRIVIUM HEALTH & NUTRITION PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-29",
        "last_updated": "2022-04-08",
        "certification_date": "2022-04-08",
        "status": "A",
        "authorized_official_last_name": "BRACKETT",
        "authorized_official_first_name": "MADISON",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "REGISTERED DIETITIAN",
        "authorized_official_telephone_number": "405-240-9240",
        "authorized_official_name_prefix": "Mrs.",
        "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": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "8067377",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "6228274",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rebecca Marie Tripp
• Mackenzie Claire Trippel
• Bruce Steven Triska, LMFT
• Tate Triska
• Tristanne Spottswood, DMD, LLC
• Nathan James Troester, PHARM.D.
• Anthony Xavier Troitino, M.D.
• Jessica Jean Trojahn, APRN-CNP
• Robert Paul Trombley, PH.D.
• Rachael Ann Tromley, APRN CNS

• Registered Dietitian in Oklahoma City, OK
• Providers in Oklahoma City, 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 8, 2022; 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.