Organization Active NPI

Personalized Lifestyle Nutrition, LLC

  • Nutrition Education Nutritionist
  • Norman, OK
National Provider Identifier
1659280501
Registry record updated Sep 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nutrition Education NutritionistTaxonomy code 133NN1002X
Legal business name
PERSONALIZED LIFESTYLE NUTRITION, LLC
Practice address
1125 N Porter Ave Ste 305
Norman, OK 73071-6446
Phone
(405) 245-9475
NPI assigned
Sep 4, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2026

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

Authorized official

Name
Tamra Keys Winston
Title
Credentialing Specialist
Phone
(281) 790-0188

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nutrition Education NutritionistGroup: 193400000X SINGLE SPECIALTY GROUP 133NN1002X Primary

Addresses

Primary practice location

1125 N Porter Ave Ste 305
Norman, OK 73071-6446

Mailing address

4232 Hackney Wick Rd
Norman, OK 73072-9790

NPI Registry JSON

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

{
    "created_epoch": "1788480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788480000000",
    "number": "1659280501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4232 HACKNEY WICK RD",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730729790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 N PORTER AVE STE 305",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730716446",
            "telephone_number": "405-245-9475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERSONALIZED LIFESTYLE NUTRITION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-04",
        "last_updated": "2026-09-04",
        "certification_date": "2026-09-04",
        "status": "A",
        "authorized_official_last_name": "KEYS WINSTON",
        "authorized_official_first_name": "TAMRA",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "281-790-0188"
    },
    "taxonomies": [
        {
            "code": "133NN1002X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nutritionist, Nutrition, Education",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norman, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.