Active NPI
One in a Melon Dietitian Services, LLC
- Registered Dietitian
- Tulsa, OK
National Provider Identifier
1922576339
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200792580A | 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": "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.