Active NPI
Cassy Tucker, MS, RD, LD, CNSC
- Registered Dietitian
- Tulsa, OK
National Provider Identifier
1750805867
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Practice address
- 8921 S Mingo Rd
Tulsa, OK 74133-5841 - Phone
- (918) 252-8013
- NPI assigned
- Jul 31, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | Primary |
Addresses
Primary practice location
8921 S Mingo Rd
Tulsa, OK 74133-5841
Mailing address
8921 S Mingo Rd
Tulsa, OK 74133-5841
Phone (918) 252-8013
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
- Credentials
- Master of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nourish, Inc. | Dietitian, Registered | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1501459200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715212800000",
"number": "1750805867",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8921 S MINGO RD",
"city": "TULSA",
"state": "OK",
"postal_code": "741335841",
"telephone_number": "918-252-8013"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8921 S MINGO RD",
"city": "TULSA",
"state": "OK",
"postal_code": "741335841",
"telephone_number": "918-252-8013"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TUCKER",
"first_name": "CASSY",
"credential": "MS, RD, LD, CNSC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-07-31",
"last_updated": "2024-05-09",
"certification_date": "2024-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"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 May 9, 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.