Krystal Dunham, MS, RDN, LD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

LD2630 Issued in OK

Practice address

8211 E Regal PL Ste 100
Tulsa, OK 74133-7181

Phone

(918) 539-0678

Fax

(918) 273-6660

NPI assigned

Sep 18, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

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

• The Mother Road Dietitian, LLC.

  • Registered Dietitian
  • Tulsa, OK
  • NPI 1932879152

  Dietitian, Registered

  NPD Authorized official

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

{
    "created_epoch": "1631923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750896000000",
    "number": "1609546829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8211 E REGAL PL STE 100",
            "address_2": "PMB 704",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741337181",
            "telephone_number": "918-539-0678",
            "fax_number": "918-273-6660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8211 E REGAL PL STE 100",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741337181",
            "telephone_number": "918-539-0678",
            "fax_number": "918-273-6660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNHAM",
        "first_name": "KRYSTAL",
        "credential": "MS, RDN, LD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-18",
        "last_updated": "2025-06-26",
        "certification_date": "2025-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "AR",
            "license": "2609",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "OK",
            "license": "LD2630",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ron Duncan, PT
• Peter Joseph Duncanson, PA
• Elizabeth Anne Duncklee, LCSW
• Bryan Dunford
• Ashley Lynn Dunham, SLP
• Vannessa Nadiya Dunham, COTA/L
• Scott J Dunitz, MD
• Nikola Dunkelberg, LMFT
• Alexis Lauren Dunlap, BA
• Brandy Jo Dunlap, LCSW

• Registered Dietitian in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Registered Dietitian in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2025; 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.