Active NPI
Nutritional Voices LLC
- Registered Dietitian
- Broken Arrow, OK
National Provider Identifier
1871725978
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Legal business name
- NUTRITIONAL VOICES LLC
- Practice address
- 21333 E 104TH St
Broken Arrow, OK 74014-3669 - Phone
- (918) 449-1123
- NPI assigned
- Aug 22, 2009
- 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
- Andrea Dawn Shotton, MS RD LD
- Title
- Nutrition Therapist
- Phone
- (918) 449-1123
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | Primary |
Addresses
Primary practice location
21333 E 104TH St
Broken Arrow, OK 74014-3669
Mailing address
21333 E 104TH St
Broken Arrow, OK 74014-3669
Phone (918) 449-1123
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200258510 A | Medicaid | OK |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1250899200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1297468800000",
"number": "1871725978",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21333 E 104TH ST",
"city": "BROKEN ARROW",
"state": "OK",
"postal_code": "740143669",
"telephone_number": "918-449-1123"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21333 E 104TH ST",
"city": "BROKEN ARROW",
"state": "OK",
"postal_code": "740143669",
"telephone_number": "918-449-1123"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NUTRITIONAL VOICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2009-08-22",
"last_updated": "2011-02-12",
"status": "A",
"authorized_official_last_name": "SHOTTON",
"authorized_official_first_name": "ANDREA",
"authorized_official_middle_name": "DAWN",
"authorized_official_title_or_position": "NUTRITION THERAPIST",
"authorized_official_telephone_number": "918-449-1123",
"authorized_official_credential": "MS RD LD"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200258510 A",
"state": "OK"
}
],
"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 Feb 12, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.