Organization Active NPI

Nutrition Care, LLC

  • Registered Dietitian
  • Tulsa, OK
National Provider Identifier
1730263245
Registry record updated Sep 1, 2009
On this page

Key facts

NPPES NPI Registry
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
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2009

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.
Title
President
Phone
(918) 691-5768

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 133V00000X 587 OK Primary

Addresses

Primary practice location

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

Mailing address

8086 S Yale Ave
Ste. 184
Tulsa, OK 74136-9003
Phone (918) 691-5768

National Provider Directory

National Provider Directory

Locations

8086 S Yale Ave
Tulsa, OK 74136
Phone (801) 347-5855

NPI Registry JSON

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": []
}

Other providers in Tulsa, OK

Sources for this page

  • 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.