Active NPI
Madeline Ray
- Registered Dietitian
- Tulsa, OK
National Provider Identifier
1598336513
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 2770
- Practice address
- 6655 S Yale Ave
Tulsa, OK 74136-3326 - Phone
- (918) 491-3700
- Fax
- (918) 481-4063
- NPI assigned
- Jul 9, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 2770 | OK | Primary |
Addresses
Primary practice location
6655 S Yale Ave
Tulsa, OK 74136-3326
Mailing address
PO Box 707001
Tulsa, OK 74170-7001
Phone (888) 247-0125
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200992990A | Medicaid | OK |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2770 | OK | MD | Optometrist |
| 818 | OK | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1625788800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1671753600000",
"number": "1598336513",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 707001",
"city": "TULSA",
"state": "OK",
"postal_code": "741707001",
"telephone_number": "888-247-0125",
"fax_number": "918-502-8210"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6655 S YALE AVE",
"city": "TULSA",
"state": "OK",
"postal_code": "741363326",
"telephone_number": "918-491-3700",
"fax_number": "918-481-4063"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAY",
"first_name": "MADELINE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-07-09",
"last_updated": "2022-12-23",
"certification_date": "2022-12-23",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dietitian, Registered",
"state": "OK",
"license": "2770",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200992990A",
"state": "OK"
}
],
"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 Dec 23, 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.