Active NPI
Gabrielle Dawn Taylor, R.D./L.D.
- Registered Dietitian
- Tulsa, OK
National Provider Identifier
1780605030
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 1395
- Practice address
- 6655 S Yale Ave
Tulsa, OK 74136-3326 - Phone
- (918) 491-3700
- Fax
- (918) 481-4063
- NPI assigned
- Jul 22, 2006
- Last updated
- Feb 7, 2023
- Sex
- Female
- Sole proprietor
- No
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 | 1395 | OK | Primary |
Addresses
Primary practice location
6655 S Yale Ave
Tulsa, OK 74136-3326
Mailing address
PO Box 707001
Tulsa, OK 74170-7001
Phone (888) 247-0125
Other practice location 1
550 S Peoria Ave
Tulsa, OK 74120-3820
Phone (918) 588-1900
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200678900A | Medicaid | OK |
Other names 1
- Miss Gabrielle Dawn Ketter
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1395 | OK | MD | Occupational Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Meals by Joleen LLC | Dietitian, Registered | Past | Accepting new patients |
| Indian Health Care Resource Center of Tulsa, Inc. | Past | Accepting new patients | |
| Therapeutic Connections | Past | Accepting new patients |
Organizations & group practices 4
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153526400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1675728000000",
"number": "1780605030",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 707001",
"city": "TULSA",
"state": "OK",
"postal_code": "741707001",
"telephone_number": "888-247-0125",
"fax_number": "918-502-8210"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6655 S YALE AVE",
"city": "TULSA",
"state": "OK",
"postal_code": "741363326",
"telephone_number": "918-491-3700",
"fax_number": "918-481-4063"
}
],
"practiceLocations": [
{
"address_1": "550 S Peoria Ave",
"address_purpose": "LOCATION",
"city": "Tulsa",
"state": "OK",
"postal_code": "741203820",
"country_code": "US",
"telephone_number": "918-588-1900",
"fax_number": "918-582-6405",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TAYLOR",
"first_name": "GABRIELLE",
"middle_name": "DAWN",
"name_prefix": "Mrs.",
"credential": "R.D./L.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-22",
"last_updated": "2023-02-07",
"certification_date": "2023-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "OK",
"license": "1395",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200678900A",
"state": "OK"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "GABRIELLE",
"last_name": "KETTER",
"middle_name": "DAWN",
"prefix": "MISS",
"code": "1",
"type": "Former Name"
}
]
}
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 Feb 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.