Adrienne Elizabeth Radcliff Hefner, RD/LD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

2093 Issued in OK

Practice address

4200 W Memorial Rd Ste 508
Oklahoma City, OK 73120-8359

Phone

(918) 755-7561

NPI assigned

Nov 17, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Adrienne Elizabeth Radcliff Former name

Medicare fee-for-service enrollment

Enrolled in OK, TX2 enrollments

Enrollment records 2

Specialty

Registered Dietitian Or Nutrition Professional

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Nourish, Inc.Group PAC ID 1557724937, 288 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Nourish, Inc.

  • Registered Dietitian
  • Austin, TX
  • NPI 1558097824

  Dietitian, Registered

  Medicare reassignment Care Compare group NPD
• Banister & Associates LLC

  • Metabolic Nutrition Registered Dietitian
  • Oklahoma City, OK
  • NPI 1659593168
  Medicare reassignment NPD
• Indian Health Care Resource Center of Tulsa, Inc.

  • Pharmacy
  • Tulsa, OK
  • NPI 1457447609
  NPD (past)

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

{
    "created_epoch": "1447718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606694400000",
    "number": "1639543424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5335 E 29TH ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741146305",
            "telephone_number": "918-625-6263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 W MEMORIAL RD STE 508",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731208359",
            "telephone_number": "918-755-7561"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "550 S Peoria Ave",
            "address_purpose": "LOCATION",
            "city": "Tulsa",
            "state": "OK",
            "postal_code": "741203820",
            "country_code": "US",
            "telephone_number": "918-588-1900",
            "fax_number": "918-582-6405",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RADCLIFF HEFNER",
        "first_name": "ADRIENNE",
        "middle_name": "ELIZABETH",
        "credential": "RD/LD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-17",
        "last_updated": "2020-11-30",
        "certification_date": "2020-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "OK",
            "license": "2093",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ADRIENNE",
            "last_name": "RADCLIFF",
            "middle_name": "ELIZABETH",
            "credential": "RD/LD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Krystal Lynn Rachal, CNP
• Rachel M Crain MD PLLC
• Carl Andrew Raczkowski, M.D.
• Morgan Rada
• Susan Elise Rada, BCABA
• David Wayne Rader, M.D.
• Ginger Alice Rader, PA
• Lloyd Edwin Rader, M.D.
• Robert William Rader, M.D., D.PH.
• Whitney Radford

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.