Active NPI
L&M Nutrition Solutions
- Home Health Agency
- Broken Arrow, OK
National Provider Identifier
1821404187
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 133V00000X
- Legal business name
- L&M NUTRITION SOLUTIONS
- Practice address
- 4900 S Redbud Ave
Broken Arrow, OK 74011-4263 - Phone
- (918) 406-9718
- NPI assigned
- Jul 8, 2014
- 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
- Mrs. Amy Lisa Waldroop, MS,RD/LD
- Title
- Registered Dietitian
- Phone
- (918) 406-9718
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 133V00000X | OK | Primary |
Addresses
Primary practice location
4900 S Redbud Ave
Broken Arrow, OK 74011-4263
Mailing address
4900 S Redbud Ave
Broken Arrow, OK 74011-4263
Phone (918) 406-9718
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1404777600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1404777600000",
"number": "1821404187",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4900 S REDBUD AVE",
"city": "BROKEN ARROW",
"state": "OK",
"postal_code": "740114263",
"telephone_number": "918-406-9718"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4900 S REDBUD AVE",
"city": "BROKEN ARROW",
"state": "OK",
"postal_code": "740114263",
"telephone_number": "918-406-9718"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "L&M NUTRITION SOLUTIONS",
"organizational_subpart": "NO",
"enumeration_date": "2014-07-08",
"last_updated": "2014-07-08",
"status": "A",
"authorized_official_last_name": "WALDROOP",
"authorized_official_first_name": "AMY",
"authorized_official_middle_name": "LISA",
"authorized_official_title_or_position": "REGISTERED DIETITIAN",
"authorized_official_telephone_number": "918-406-9718",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "MS,RD/LD"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "OK",
"license": "133V00000X",
"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 Jul 8, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.