Organization Active NPI

Simply You Nutrition, PLLC

  • Registered Dietitian
  • Tulsa, OK
National Provider Identifier
1841780541
Registry record updated Jan 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
1938 Issued in OK
Legal business name
SIMPLY YOU NUTRITION, PLLC
Practice address
7633 E 63Rd PL Ste 300
Tulsa, OK 74133-1202
Phone
(918) 280-9418
Fax
(539) 664-9824
NPI assigned
May 17, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2023

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

Authorized official

Name
Sydney Cavero-Egusquiza, MS, RD/LDNPI 1811498058
Title
Registered Dietitian
Phone
(918) 280-9418

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)CodeLicenseStatePrimary
Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 133V00000X 1938 OK Primary

Addresses

Primary practice location

7633 E 63Rd PL Ste 300
Tulsa, OK 74133-1202

Mailing address

4815 S Harvard Ave Ste 253
Tulsa, OK 74135-3066
Phone (918) 280-9418

Other identifiers 1

IdentifierTypeStateIssuer
1811498058OtherPERSONAL NPI

National Provider Directory

National Provider Directory

Locations

1831 E 71st St
#4239
Tulsa, OK 74136

4815 S Harvard Ave
Ste 253
Tulsa, OK 74135

Practitioners & 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": "1526515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674950400000",
    "number": "1841780541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4815 S HARVARD AVE STE 253",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741353066",
            "telephone_number": "918-280-9418",
            "fax_number": "539-664-9824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7633 E 63RD PL STE 300",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741331202",
            "telephone_number": "918-280-9418",
            "fax_number": "539-664-9824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIMPLY YOU NUTRITION, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-17",
        "last_updated": "2023-01-29",
        "certification_date": "2023-01-29",
        "status": "A",
        "authorized_official_last_name": "CAVERO-EGUSQUIZA",
        "authorized_official_first_name": "SYDNEY",
        "authorized_official_title_or_position": "REGISTERED DIETITIAN",
        "authorized_official_telephone_number": "918-280-9418",
        "authorized_official_credential": "MS, RD/LD"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": "OK",
            "license": "1938",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERSONAL NPI",
            "identifier": "1811498058",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2023; 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.