Individual provider Active NPI

Jaisa Thomas, RD, LD

  • Registered Dietitian
  • Oklahoma City, OK
National Provider Identifier
1619731213
Registry record updated Jun 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
2935 Issued in OK
Practice address
924 NW 58TH St Ste 102
Oklahoma City, OK 73118-5905
Phone
(405) 445-8977
NPI assigned
Feb 13, 2024
Last updated
Jun 9, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 9, 2025

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 2935 OK Primary

Addresses

Primary practice location

924 NW 58TH St Ste 102
Oklahoma City, OK 73118-5905

Mailing address

3104 Grasshopper Way
Yukon, OK 73099-0458
Phone (405) 445-8977

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241231001769 OK Practitioner - Registered Dietitian Or Nutrition Professional 1759728967 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
J. Thomas Nutrition LLC Dietitian, Registered CurrentSince Oct 22, 2024 Accepting new patients

Locations

7 NE 6th St
Ste 100
Oklahoma City, OK 73104
Phone (405) 496-0623

924 NW 58th St
Ste 102
Oklahoma City, OK 73118
Phone (405) 215-9514

Organizations & group practices 1

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": "1707782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749427200000",
    "number": "1619731213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3104 GRASSHOPPER WAY",
            "city": "YUKON",
            "state": "OK",
            "postal_code": "730990458",
            "telephone_number": "405-445-8977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "924 NW 58TH ST STE 102",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731185905",
            "telephone_number": "405-445-8977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "JAISA",
        "credential": "RD, LD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-02-13",
        "last_updated": "2025-06-09",
        "certification_date": "2025-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "OK",
            "license": "2935",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.