Active NPI
Jani Ann Van Grevenhof, MS, RD/LD, CDE
- Registered Dietitian
- Oklahoma City, OK
National Provider Identifier
1790778686
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- LD 999
- Practice address
- 1600 N Phillips Ave
Coah Nutrition Counseling Clinic
Oklahoma City, OK 73104-4619 - Phone
- (405) 271-2113
- Fax
- (405) 271-1560
- NPI assigned
- Aug 25, 2005
- 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 | LD 999 | OK | Primary |
Addresses
Primary practice location
1600 N Phillips Ave
Coah Nutrition Counseling Clinic
Oklahoma City, OK 73104-4619
Mailing address
Department of Nutritional Sciences
PO Box 26901, CHB 469
Oklahoma City, OK 73190-0001
Phone (405) 271-2113
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7571472 | Other | OK | AETNA |
Other names 1
- Jani Ann Tuttle
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 999 | OK | MD | Addiction (Substance Use Disorder) Counselor |
| LD 999 | OK | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| State of Ok, Board of Regents, University of Ok Health Sciences Center | 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.
-
- Registered Dietitian
- Oklahoma City, OK
- NPI 1346237815
Dietitian, Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124928000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1790778686",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "DEPARTMENT OF NUTRITIONAL SCIENCES",
"address_2": "PO BOX 26901, CHB 469",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731900001",
"telephone_number": "405-271-2113",
"fax_number": "405-271-1560"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 N PHILLIPS AVE",
"address_2": "COAH NUTRITION COUNSELING CLINIC",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731044619",
"telephone_number": "405-271-2113",
"fax_number": "405-271-1560"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VAN GREVENHOF",
"first_name": "JANI",
"middle_name": "ANN",
"name_prefix": "Mrs.",
"credential": "MS, RD/LD, CDE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-08-25",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "OK",
"license": "LD 999",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7571472",
"state": "OK"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JANI",
"last_name": "TUTTLE",
"middle_name": "ANN",
"code": "1",
"type": "Former 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 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.