Renal Dietitian Specialists of Oklahoma

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Legal business name

RENAL DIETITIAN SPECIALISTS OF OKLAHOMA

Practice address

1 S Broadway Ste 303
Edmond, OK 73034-3706

Phone

(405) 906-7133

Fax

(405) 546-2645

NPI assigned

Sep 14, 2019

Organization subpart

No

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

Authorized official

Name

Mrs. Margaret Tarr Deshazer, MS, RD/LDNPI 1891343752

Title

Dietitian

Phone

(405) 906-7133

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Margaret Tarr Deshazer, MS, RD/LD

  • Registered Dietitian
  • Edmond, OK
  • NPI 1891343752

  Dietitian, Registered

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1568419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655424000000",
    "number": "1699325324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 E BLANCH AVE",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730343633",
            "telephone_number": "405-822-6129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 S BROADWAY STE 303",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730343706",
            "telephone_number": "405-906-7133",
            "fax_number": "405-546-2645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENAL DIETITIAN SPECIALISTS OF OKLAHOMA",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-14",
        "last_updated": "2022-06-17",
        "certification_date": "2022-06-17",
        "status": "A",
        "authorized_official_last_name": "DESHAZER",
        "authorized_official_first_name": "MARGARET",
        "authorized_official_middle_name": "TARR",
        "authorized_official_title_or_position": "DIETITIAN",
        "authorized_official_telephone_number": "405-906-7133",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MS, RD/LD"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Reliable Medical Solutions, LLC
• Remedy Health Direct Primary Care
• Remedy Health PLLC
• Amy Remy
• Renaissance Medical Management LLC
• Renal Treatment Centers West Inc (Edmond Dialysis Center)
• Renegade Productions LLC
• Donna Gayle Renfro
• Leah Rennaker, RBT
• Jeffrey Don Renner

• Registered Dietitian in Edmond, OK
• Providers in Edmond, 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 17, 2022; 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.