Journey to Success - Lifestyle Nutrition, LLC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Legal business name

JOURNEY TO SUCCESS - LIFESTYLE NUTRITION, LLC

Practice address

13315 E 112TH St N Ste 203
Owasso, OK 74055-8376

Phone

(918) 212-6216

Fax

(918) 308-3286

NPI assigned

Feb 6, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Suzanne E Gauldin, RDN

Title

Owner

Phone

(918) 212-6216

Specialties & licenses 1

Addresses

Other names 1

• Journey To Success - Lifestyle Nutrition, LLC Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1707177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707177600000",
    "number": "1831953363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13315 E 112TH ST N STE 203",
            "city": "OWASSO",
            "state": "OK",
            "postal_code": "740558376",
            "telephone_number": "918-212-6216",
            "fax_number": "918-308-3286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13315 E 112TH ST N STE 203",
            "city": "OWASSO",
            "state": "OK",
            "postal_code": "740558376",
            "telephone_number": "918-212-6216",
            "fax_number": "918-308-3286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOURNEY TO SUCCESS - LIFESTYLE NUTRITION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-06",
        "last_updated": "2024-02-06",
        "certification_date": "2024-02-06",
        "status": "A",
        "authorized_official_last_name": "GAULDIN",
        "authorized_official_first_name": "SUZANNE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "918-212-6216",
        "authorized_official_credential": "RDN"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Journey To Success - Lifestyle Nutrition, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Courtney Jones
• Kara E Jones, RDN,LD
• Kiley Jones
• Megan Marie Jones
• Samantha Jones, HEALTH COACH
• Daniel Joyce, PTA
• Danya Julson, D.O.
• Jessica Edem Kanwhen, PHARM.D.
• Sonja Kapchinsky
• Seth Kardasopoulos

• Registered Dietitian in Owasso, OK
• Providers in Owasso, OK by specialty
• Registered Dietitian in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2024; 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.