Nutrition Care, LLC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

587 Issued in OK

Legal business name

NUTRITION CARE, LLC

Practice address

8086 S Yale Ave
Ste. 184
Tulsa, OK 74136-9003

Phone

(918) 691-5768

NPI assigned

Oct 24, 2006

Last updated

Sep 1, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Diana L. Wallace, R.D./L.D.NPI 1497837645

Title

President

Phone

(918) 691-5768

Specialties & licenses 1

Addresses

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.

• Diana Lynn Wallace, R.D. L.D.

  • Registered Dietitian
  • Tulsa, OK
  • NPI 1497837645
  Authorized official Same address or phone

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251763200000",
    "number": "1730263245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8086 S YALE AVE",
            "address_2": "STE. 184",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741369003",
            "telephone_number": "918-691-5768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8086 S YALE AVE",
            "address_2": "STE. 184",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741369003",
            "telephone_number": "918-691-5768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NUTRITION CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-24",
        "last_updated": "2009-09-01",
        "status": "A",
        "authorized_official_last_name": "WALLACE",
        "authorized_official_first_name": "DIANA",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "918-691-5768",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "R.D./L.D."
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": "OK",
            "license": "587",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nurtured in Natural Environments Ranch, LLC (9Ranch)
• Rebecca Michelle Nuss, MD
• Charlee Nussbaum, PTA
• Ryan Andrew Nussbaum, PA-C
• Steven L. Nussbaum, D.O.
• Nutrition Consultants of Tulsa, LLC
• Nutrition Specialists of Northeastern Oklahoma
• Samantha Nuttall, LCSW
• Andra Dale Nuzum-Keim, M.D.
• NV Billco LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2009; 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.