Active NPI
The Mother Road Dietitian, LLC.
- Registered Dietitian
- Tulsa, OK
National Provider Identifier
1932879152
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Legal business name
- THE MOTHER ROAD DIETITIAN, LLC.
- Practice address
- 8211 E Regal PL Ste 100
Tulsa, OK 74133-7181 - Phone
- (918) 539-0678
- Fax
- (918) 273-6660
- NPI assigned
- Sep 18, 2021
- 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
- Krystal Dunham, RDN, LD
- Title
- Registered Dietitian Nutritionist
- Phone
- (918) 539-0678
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | Primary |
Addresses
Primary practice location
8211 E Regal PL Ste 100
Tulsa, OK 74133-7181
Mailing address
8211 East Regal Place Ste 100
PMB 704
Tulsa, OK 74133-7214
Phone (918) 539-0678
National Provider Directory
National Provider DirectoryLocations
109 N Garfield Ave
Sand Springs, OK 74063
Phone (918) 922-9551
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Registered Dietitian
- Norman, OK
- NPI 1922252972
Dietitian, Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1631923200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757548800000",
"number": "1932879152",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8211 EAST REGAL PLACE STE 100",
"address_2": "PMB 704",
"city": "TULSA",
"state": "OK",
"postal_code": "741337214",
"telephone_number": "918-539-0678",
"fax_number": "918-273-6660"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8211 E REGAL PL STE 100",
"city": "TULSA",
"state": "OK",
"postal_code": "741337181",
"telephone_number": "918-539-0678",
"fax_number": "918-273-6660"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THE MOTHER ROAD DIETITIAN, LLC.",
"organizational_subpart": "NO",
"enumeration_date": "2021-09-18",
"last_updated": "2025-09-11",
"certification_date": "2025-09-11",
"status": "A",
"authorized_official_last_name": "DUNHAM",
"authorized_official_first_name": "KRYSTAL",
"authorized_official_title_or_position": "REGISTERED DIETITIAN NUTRITIONIST",
"authorized_official_telephone_number": "918-539-0678",
"authorized_official_credential": "RDN, LD"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.