Individual provider Active NPI

Melissa Horn-Speck, RDN/LD

  • Registered Dietitian
  • Sand Springs, OK
National Provider Identifier
1740989011
Registry record updated Feb 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
2072 Issued in OK
Practice address
17287 W 32ND St S
Sand Springs, OK 74063-4774
Phone
(918) 280-9320
Fax
(918) 221-8079
NPI assigned
Feb 27, 2023
Last updated
Feb 27, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 2072 OK Primary

Addresses

Primary practice location

17287 W 32ND St S
Sand Springs, OK 74063-4774

Mailing address

17287 W 32ND St S
Sand Springs, OK 74063-4774
Phone (918) 280-9320

Other practice location 1

3228 S Jamestown Ave
Tulsa, OK 74135-4408
Phone (918) 280-9320

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2072OKMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Community Therapy Solutions, LLC CurrentSince Mar 5, 2023 Accepting new patients
Virtual Service Dog Supports, LLC PastSince Feb 19, 2023 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1677456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677456000000",
    "number": "1740989011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17287 W 32ND ST S",
            "city": "SAND SPRINGS",
            "state": "OK",
            "postal_code": "740634774",
            "telephone_number": "918-280-9320",
            "fax_number": "918-221-8079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17287 W 32ND ST S",
            "city": "SAND SPRINGS",
            "state": "OK",
            "postal_code": "740634774",
            "telephone_number": "918-280-9320",
            "fax_number": "918-221-8079"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3228 S Jamestown Ave",
            "address_purpose": "LOCATION",
            "city": "Tulsa",
            "state": "OK",
            "postal_code": "741354408",
            "country_code": "US",
            "telephone_number": "918-280-9320",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HORN-SPECK",
        "first_name": "MELISSA",
        "credential": "RDN/LD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-02-27",
        "last_updated": "2023-02-27",
        "certification_date": "2023-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "OK",
            "license": "2072",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sand Springs, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2023; 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.