Katy Marie Miller, MA, RD/LD
Individual provider Active NPI Pediatric Nutrition Registered Dietitian · Oklahoma City, OK
NPI 1982281119 · NPPES record last updated Mar 25, 2021
Key facts
- NPI
- 1982281119
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatric Nutrition Registered Dietitian 133VN1004X
- License
- L2555 (OK)
- Practice address
- 1200 Childrens Ave RM BNP 501
Oklahoma City, OK 73104-4637 - Phone
- (405) 271-8001
- NPI assigned
- Mar 25, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L2555 | OK | MD | Pediatric Nutrition Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sodexo Operations LLC | Nutrition, Pediatric | Current |
Accepting new patients |
| Fay Nutrition | Past | Accepting new patients |
Locations
1 S Bryant Ave
Edmond, OK 73034
Phone (405) 341-6100
900 NE 13th St
Oklahoma City, OK 73104
Phone (267) 317-6845
950 W Trenton Ave
Unit 240
Morrisville, PA 19067
Phone (267) 317-6845
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nutrition Registered Dietitian | 133VN1004X | L2555 | OK | Yes |
Addresses
Primary practice location
1200 Childrens Ave RM BNP 501
Oklahoma City, OK 73104-4637
Mailing address
1200 Childrens Ave RM BNP 501
Oklahoma City, OK 73104-4637
Phone (405) 271-8001
Other names
- Katy Marie Litton
Other providers in Oklahoma City, OK
- John Gilbert Miller
- John WM. Miller
- Jonathan Michael Miller
- Kameron Danae Miller
- Katrina Miller
- Kela Jill Miller
- Kelsi Gabrielle Miller
- Kelton Lee Miller
- Kendra Michelle Miller
- Keshauna Danielle Miller
All providers in Oklahoma City, OK · Pediatric Nutrition Registered Dietitian in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 25, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.