Individual provider Active NPI

Jani Ann Van Grevenhof, MS, RD/LD, CDE

  • Registered Dietitian
  • Oklahoma City, OK
National Provider Identifier
1790778686
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
LD 999 Issued in OK
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

Updated by the provider on Jul 13, 2026

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 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

IdentifierTypeStateIssuer
7571472OtherOKAETNA

Other names 1

  • Jani Ann Tuttle Former name

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

LicenseStateTypeSpecialty
999OKMDAddiction (Substance Use Disorder) Counselor
LD 999OKMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.