Organization Active NPI

The Mother Road Dietitian, LLC.

  • Registered Dietitian
  • Tulsa, OK
National Provider Identifier
1932879152
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
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

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Krystal Dunham, RDN, LDNPI 1609546829
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)CodeLicenseStatePrimary
Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

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": []
}

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 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.

Verify at the official NPI Registry.