Active NPI
Kelleigh Whaley, M.S, R.D./L.D.
- Registered Dietitian
- Norman, OK
National Provider Identifier
1922252972
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 1458
- Practice address
- 809 Grickle Dr
Norman, OK 73069-7575 - Phone
- (405) 514-7742
- NPI assigned
- Nov 4, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 1458 | OK | Primary |
Addresses
Primary practice location
809 Grickle Dr
Norman, OK 73069-7575
Mailing address
809 Grickle Dr
Norman, OK 73069-7575
Phone (405) 514-7742
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Mother Road Dietitian, LLC. | Dietitian, Registered | Past | Accepting new patients |
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": "1225756800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1225756800000",
"number": "1922252972",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "809 GRICKLE DR",
"city": "NORMAN",
"state": "OK",
"postal_code": "730697575",
"telephone_number": "405-514-7742"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "809 GRICKLE DR",
"city": "NORMAN",
"state": "OK",
"postal_code": "730697575",
"telephone_number": "405-514-7742"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHALEY",
"first_name": "KELLEIGH",
"name_prefix": "Mrs.",
"credential": "M.S, R.D./L.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-11-04",
"last_updated": "2008-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "OK",
"license": "1458",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Norman, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.