Macy Victoria Bieker, RDN
Individual provider Active NPI Registered Dietitian · Tulsa, OK
NPI 1487426748 · NPPES record last updated Oct 30, 2023
Key facts
- NPI
- 1487426748
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- License
- 2857 (OK)
- Practice address
- 6802 S Olympia Ave
Tulsa, OK 74132-1823 - Phone
- (785) 477-2028
- NPI assigned
- Oct 30, 2023
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2857 | OK | MD | Registered Dietitian |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian |
133V00000X | 2857 | OK | Yes |
Addresses
Primary practice location
6802 S Olympia Ave
Tulsa, OK 74132-1823
Mailing address
1207 E 28TH St
Tulsa, OK 74114-3921
Phone (785) 477-2028
Other providers in Tulsa, OK
- Lloyd David Bickford
- Anne Marie Biddick
- Glenda Gail Bieber
- Julie Biedekapp
- Gary Bieganski
- Kyle Bielefeld
- Jennifer Lee Bielli
- Jennifer Beth Bierach
- Shelby Brooke Bierman
- Theodora Bierman
All providers in Tulsa, OK · Registered Dietitian in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 30, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.