Organization Active NPI

Life Nutrition

  • Registered Dietitian
  • Oklahoma City, OK
National Provider Identifier
1750128872
Registry record updated Jul 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Legal business name
LIFE NUTRITION
Practice address
4334 NW Expressway Ste 163
Oklahoma City, OK 73116-1515
Phone
(405) 942-4308
NPI assigned
Jul 15, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2024

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

Authorized official

Name
Erin MartinNPI 1902177660
Title
Owner
Phone
(405) 942-4308

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

4334 NW Expressway Ste 163
Oklahoma City, OK 73116-1515

Mailing address

4334 NW Expressway Ste 163
Oklahoma City, OK 73116-1515
Phone (405) 942-4308

Other names 1

  • Erin Martin Other name

National Provider Directory

National Provider Directory

Locations

4334 NW Expressway
Ste 163
Oklahoma City, OK 73116
Phone (405) 942-4308

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1721001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721001600000",
    "number": "1750128872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4334 NW EXPRESSWAY STE 163",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731161515",
            "telephone_number": "405-942-4308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4334 NW EXPRESSWAY STE 163",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731161515",
            "telephone_number": "405-942-4308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE NUTRITION",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-15",
        "last_updated": "2024-07-15",
        "certification_date": "2024-07-15",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "ERIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-942-4308"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Erin Martin",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2024; 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.