Organization Active NPI

Nutritional Voices LLC

  • Registered Dietitian
  • Broken Arrow, OK
National Provider Identifier
1871725978
Registry record updated Feb 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
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

Updated by the provider on Feb 12, 2011

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)CodeLicenseStatePrimary
Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
200258510 AMedicaidOK

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.