Individual provider Active NPI

Christine Ellen Sumner-Davis, MS, RD, LD

  • Registered Dietitian
  • Tulsa, OK
National Provider Identifier
1548990914
Registry record updated Jul 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
863 Issued in OK
Practice address
1819 E 19TH St Ste 300
Tulsa, OK 74104-5413
Phone
(918) 744-2444
Fax
(918) 856-5503
NPI assigned
Jun 16, 2022
Last updated
Jul 5, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2022

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 863 OK Primary

Addresses

Primary practice location

1819 E 19TH St Ste 300
Tulsa, OK 74104-5413

Mailing address

12611 S 1St St
Jenks, OK 74037-2950
Phone (918) 691-5373

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 Science

State licenses

LicenseStateTypeSpecialty
863OKMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1655337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656979200000",
    "number": "1548990914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12611 S 1ST ST",
            "city": "JENKS",
            "state": "OK",
            "postal_code": "740372950",
            "telephone_number": "918-691-5373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1819 E 19TH ST STE 300",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741045413",
            "telephone_number": "918-744-2444",
            "fax_number": "918-856-5503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUMNER-DAVIS",
        "first_name": "CHRISTINE",
        "middle_name": "ELLEN",
        "name_prefix": "Mrs.",
        "credential": "MS, RD, LD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-16",
        "last_updated": "2022-07-05",
        "certification_date": "2022-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "OK",
            "license": "863",
            "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 Jul 5, 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.