Individual provider Active NPI

Sophia Sapper, RD, LD

  • Registered Dietitian
  • Edmond, OK
National Provider Identifier
1902632334
Registry record updated Sep 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
2611 Issued in OK
Practice address
1601 S State St Ste 500
Edmond, OK 73013-3698
Phone
(405) 254-6453
Fax
(405) 562-8735
NPI assigned
Sep 11, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 2611 OK Primary

Addresses

Primary practice location

1601 S State St Ste 500
Edmond, OK 73013-3698

Mailing address

601 Robert S Kerr Ave Apt 221
Oklahoma City, OK 73102-1836
Phone (405) 651-5673

Other practice location 1

601 Robert S Kerr Ave Apt 221
Oklahoma City, OK 73102-1836
Phone (405) 651-5673

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241011001796 OK Practitioner - Registered Dietitian Or Nutrition Professional 2860924198 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Nourish Nutrition and Diabetes LLCGroup PAC ID 3274968847, 2 clinicians

Practice addresses (Care Compare)

1601 S State St
Suite 500
Edmond, OK 73013-3698
Phone (405) 254-6453

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Nourish Nutrition & Diabetes LLC Dietitian, Registered CurrentSince Sep 28, 2024 Accepting new patients

Locations

1601 S State St
Ste 500
Edmond, OK 73013
Phone (405) 241-5836

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1726012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726012800000",
    "number": "1902632334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 ROBERT S KERR AVE APT 221",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731021836",
            "telephone_number": "405-651-5673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 S STATE ST STE 500",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730133698",
            "telephone_number": "405-254-6453",
            "fax_number": "405-562-8735"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "601 Robert S Kerr Ave Apt 221",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "731021836",
            "country_code": "US",
            "telephone_number": "405-651-5673",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SAPPER",
        "first_name": "SOPHIA",
        "credential": "RD, LD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-11",
        "last_updated": "2024-09-11",
        "certification_date": "2024-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "OK",
            "license": "2611",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edmond, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.