Array Nutrition & Lactation PLLC
Organization Active NPI Registered Dietitian · Oklahoma City, OK
NPI 1841900172 · NPPES record last updated Apr 23, 2026
Key facts
- NPI
- 1841900172
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Registered Dietitian 133V00000X
- Legal business name
- ARRAY NUTRITION & LACTATION PLLC
- Practice address
- 720 SW 156TH St
Oklahoma City, OK 73170-7614 - Phone
- (405) 615-0686
- NPI assigned
- Nov 28, 2022
- Organization subpart
- No
Authorized official
- Name
- Wendy Dee Wilson, RDN, LD, IBCLC
- Title
- Managing Member
- Phone
- (405) 215-9248
Practitioners 1
-
Wendy Dee Wilson, RDN, LD, IBCLC
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OK
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20221215003043 | OK | Part B Supplier - Clinic/Group Practice | 8628447513 |
Receives reassigned benefits from 1 practitioner Practice locations: Oklahoma City, OK |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian |
133V00000X | Yes | ||
| Lactation Consultant (Non-RN) |
174N00000X |
Addresses
Primary practice location
720 SW 156TH St
Oklahoma City, OK 73170-7614
Mailing address
720 SW 156TH St
Oklahoma City, OK 73170-7614
Phone (405) 215-9248
Other providers in Oklahoma City, OK
- Marilyn A. Arnold
- Mason Arnold
- Ryan Arnold
- Bassam Arodak
- Dan Aronovich
- Jasmin Arredondo
- Jessica Sarai Arreguin Vargas
- Angeles Arreola
- Nancy Arreola
- Cristina Gale Arriens
All providers in Oklahoma City, OK · Registered Dietitian in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 23, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.