Active NPI
Nutrition Management Services, Inc.
- Registered Dietitian
- Broken Arrow, OK
National Provider Identifier
1801403894
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Legal business name
- NUTRITION MANAGEMENT SERVICES, INC.
- Practice address
- 27761 E 61St St S
Broken Arrow, OK 74014-8515 - Phone
- (918) 630-7534
- NPI assigned
- Sep 24, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kelli Michelle Warren, RD/LD
- Title
- President
- Phone
- (918) 630-7534
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | Primary |
Addresses
Primary practice location
27761 E 61St St S
Broken Arrow, OK 74014-8515
Mailing address
1216 E Kenosha St # 265
Broken Arrow, OK 74012-2007
Phone (918) 630-7534
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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": "1600905600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1600905600000",
"number": "1801403894",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1216 E KENOSHA ST # 265",
"city": "BROKEN ARROW",
"state": "OK",
"postal_code": "740122007",
"telephone_number": "918-630-7534"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27761 E 61ST ST S",
"city": "BROKEN ARROW",
"state": "OK",
"postal_code": "740148515",
"telephone_number": "918-630-7534"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NUTRITION MANAGEMENT SERVICES, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2020-09-24",
"last_updated": "2020-09-24",
"certification_date": "2020-09-24",
"status": "A",
"authorized_official_last_name": "WARREN",
"authorized_official_first_name": "KELLI",
"authorized_official_middle_name": "MICHELLE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "918-630-7534",
"authorized_official_credential": "RD/LD"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Broken Arrow, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.