Individual provider Active NPI

Cecilia Davis Gifford, RD

  • Registered Dietitian
  • Tulsa, OK
National Provider Identifier
1598966780
Registry record updated Feb 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
10 Issued in OK
Practice address
2021 S Lewis Ave
325
Tulsa, OK 74104-5733
Phone
(918) 749-9077
Fax
(918) 749-4041
NPI assigned
May 29, 2007
Last updated
Feb 8, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2018

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 10 OK Primary

Addresses

Primary practice location

2021 S Lewis Ave
325
Tulsa, OK 74104-5733

Mailing address

2021 S Lewis Ave
325
Tulsa, OK 74104-5733
Phone (918) 749-9077

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Apr 1, 2018 through Apr 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
10OKMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Nutrition Consultants of Tulsa, LLC Dietitian, Registered PastSince Nov 22, 2016 Accepting new patients
Therapeutic Connections Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1180396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1518048000000",
    "number": "1598966780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2021 S LEWIS AVE",
            "address_2": "325",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741045733",
            "telephone_number": "918-749-9077",
            "fax_number": "918-749-4041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2021 S LEWIS AVE",
            "address_2": "325",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741045733",
            "telephone_number": "918-749-9077",
            "fax_number": "918-749-4041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIFFORD",
        "first_name": "CECILIA",
        "middle_name": "DAVIS",
        "name_prefix": "Ms.",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-29",
        "last_updated": "2018-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "OK",
            "license": "10",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.