Option 1 Nutrition Solutions LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

OPTION 1 NUTRITION SOLUTIONS LLC

Practice address

12101 E 51St St Ste 106
Tulsa, OK 74146-6018

Phone

(918) 252-2000

Fax

(918) 252-2007

NPI assigned

Oct 31, 2006

Organization subpart

No

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

Authorized official

Name

Matthew Buckhalter

Title

Cfo

Phone

(470) 464-8000

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Aveanna Healthcare Medical Solutions - OK Doing business as

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Option 1 Nutrition Solutions LLC

  • Durable Medical Equipment & Medical Supplies
  • Oklahoma City, OK
  • NPI 1891094108

  8325250251

  Same PAC ID
• Option 1 Nutrition Solutions LLC

  • Parenteral & Enteral Nutrition Supplies (DME)
  • Denver, CO
  • NPI 1548347156

  8325250251

  Same PAC ID
• Option 1 Nutrition Solutions LLC

  • Durable Medical Equipment & Medical Supplies
  • Billings, MT
  • NPI 1598494783

  8325250251

  Same PAC ID

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Tax ID family

Option 1 Nutrition Solutions LLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

• Option 1 Nutrition Solutions LLC

  • Durable Medical Equipment & Medical Supplies
  • Oklahoma City, OK
  • NPI 1891094108
  NPD tax ID
• Option 1 Nutrition Solutions LLC

  • Parenteral & Enteral Nutrition Supplies (DME)
  • Denver, CO
  • NPI 1548347156
  NPD tax ID
• Option 1 Nutrition Solutions LLC

  • Durable Medical Equipment & Medical Supplies
  • Billings, MT
  • NPI 1598494783
  NPD tax ID

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

{
    "created_epoch": "1162252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737936000000",
    "number": "1497831507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 INTERSTATE NORTH PKWY SE",
            "address_2": "SUITE 1600",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303395047",
            "telephone_number": "470-464-8000",
            "fax_number": "770-248-8192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12101 E 51ST ST STE 106",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741466018",
            "telephone_number": "918-252-2000",
            "fax_number": "918-252-2007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTION 1 NUTRITION SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-31",
        "last_updated": "2025-01-27",
        "certification_date": "2025-01-27",
        "status": "A",
        "authorized_official_last_name": "BUCKHALTER",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "470-464-8000"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER PROVIDERS",
            "identifier": "731347232",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100260990B",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF OK",
            "identifier": "731347232001",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Aveanna Healthcare Medical Solutions - OK",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Durable Medical Equipment & Medical Supplies in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Durable Medical Equipment & Medical Supplies in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.