Organization Active NPI

L&M Nutrition Solutions

  • Home Health Agency
  • Broken Arrow, OK
National Provider Identifier
1821404187
Registry record updated Jul 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
133V00000X Issued in OK
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

Updated by the provider on Jul 8, 2014

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)CodeLicenseStatePrimary
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 Directory

NPI 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.

Verify at the official NPI Registry.