Organization Active NPI

One in a Melon Dietitian Services, LLC

  • Registered Dietitian
  • Tulsa, OK
National Provider Identifier
1922576339
Registry record updated Aug 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Legal business name
ONE IN A MELON DIETITIAN SERVICES, LLC
Practice address
1978 W 65TH St
Tulsa, OK 74132-1931
Phone
(918) 924-6808
NPI assigned
Nov 5, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2023

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

Authorized official

Name
Ms. Heather Leigh Evans, MS, RD/LD
Title
Owner
Phone
(918) 924-6808

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 133V00000X Primary

Addresses

Primary practice location

1978 W 65TH St
Tulsa, OK 74132-1931

Mailing address

2800 N 23Rd St Apt 2021
Broken Arrow, OK 74014-2044
Phone (918) 861-7658

Other identifiers 1

IdentifierTypeStateIssuer
200792580AMedicaidOK

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1541376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690934400000",
    "number": "1922576339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 N 23RD ST APT 2021",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740142044",
            "telephone_number": "918-861-7658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1978 W 65TH ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741321931",
            "telephone_number": "918-924-6808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ONE IN A MELON DIETITIAN SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-05",
        "last_updated": "2023-08-02",
        "certification_date": "2023-08-02",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_middle_name": "LEIGH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "918-924-6808",
        "authorized_official_name_prefix": "Ms.",
        "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": "200792580A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2023; 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.