NPIMap

Organization Active NPI

Muscogee Creek Nation

  • Registered Dietitian
  • Sapulpa, OK
National Provider Identifier
1720515562
Registry record updated May 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
2157 Issued in OK
Legal business name
MUSCOGEE CREEK NATION
Practice address
1125 E Cleveland Ave
Sapulpa, OK 74066-4641
Phone
(918) 224-9310
Fax
(918) 224-3805
NPI assigned
May 11, 2017
Last updated
May 11, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2017

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

Authorized official

Name
Mrs. Breanna Rene Dale, RD, LDNPI 1033606330
Title
Dietitian
Phone
(918) 224-9310

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 2157 OK Primary

Addresses

Primary practice location

1125 E Cleveland Ave
Sapulpa, OK 74066-4641

Mailing address

1125 E Cleveland Ave
Sapulpa, OK 74066-4641
Phone (918) 224-9310

National Provider Directory

National Provider Directory
Tax ID family
Creek Nation Hospital Clinics84 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1494460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494460800000",
    "number": "1720515562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1125 E CLEVELAND AVE",
            "city": "SAPULPA",
            "state": "OK",
            "postal_code": "740664641",
            "telephone_number": "918-224-9310",
            "fax_number": "918-224-3805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 E CLEVELAND AVE",
            "city": "SAPULPA",
            "state": "OK",
            "postal_code": "740664641",
            "telephone_number": "918-224-9310",
            "fax_number": "918-224-3805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MUSCOGEE CREEK NATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-11",
        "last_updated": "2017-05-11",
        "status": "A",
        "authorized_official_last_name": "DALE",
        "authorized_official_first_name": "BREANNA",
        "authorized_official_middle_name": "RENE",
        "authorized_official_title_or_position": "DIETITIAN",
        "authorized_official_telephone_number": "918-224-9310",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RD, LD"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "OK",
            "license": "2157",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sapulpa, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2017; 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.