Active NPI
Healthcare Dining Solutions, Inc
- Speech-Language Pathologist
- Okmulgee, OK
National Provider Identifier
1821336934
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Legal business name
- HEALTHCARE DINING SOLUTIONS, INC
- Practice address
- 201 E 5TH St
Suite C
Okmulgee, OK 74447-4000 - Phone
- (918) 913-9109
- Fax
- (918) 913-9112
- NPI assigned
- Jan 24, 2013
- 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
- Tonya L Porter, MS, CCC-SLP
- Title
- President/Ceo
- Phone
- (918) 913-9109
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dietary Manager | 132700000X | |||
| Registered Dietitian | 133V00000X | |||
| Speech-Language Pathologist | 235Z00000X | Primary |
Addresses
Primary practice location
201 E 5TH St
Suite C
Okmulgee, OK 74447-4000
Mailing address
928 N York St
Suite 20
Muskogee, OK 74403-3123
Phone (918) 913-9109
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200398450A | Medicaid | OK |
National Provider Directory
National Provider Directory- Tax ID family
- Healthcare Dining Solutions Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Speech-Language Pathologist
- Tahlequah, OK
- NPI 1306259445
Locations
201 E 5th St
Ste C
Okmulgee, OK 74447
Phone (918) 913-9109
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1358985600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1358985600000",
"number": "1821336934",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "928 N YORK ST",
"address_2": "SUITE 20",
"city": "MUSKOGEE",
"state": "OK",
"postal_code": "744033123",
"telephone_number": "918-913-9109",
"fax_number": "918-913-9112"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 E 5TH ST",
"address_2": "SUITE C",
"city": "OKMULGEE",
"state": "OK",
"postal_code": "744474000",
"telephone_number": "918-913-9109",
"fax_number": "918-913-9112"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEALTHCARE DINING SOLUTIONS, INC",
"organizational_subpart": "NO",
"enumeration_date": "2013-01-24",
"last_updated": "2013-01-24",
"status": "A",
"authorized_official_last_name": "PORTER",
"authorized_official_first_name": "TONYA",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "PRESIDENT/CEO",
"authorized_official_telephone_number": "918-913-9109",
"authorized_official_credential": "MS, CCC-SLP"
},
"taxonomies": [
{
"code": "132700000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dietary Manager",
"state": null,
"license": null,
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200398450A",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Okmulgee, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.