| Nourish Nutrition & Diabetes Llc | |
|
3030 Nw Expressway, Suite 200-149, Oklahoma City, OK 73112-5474 | |
| (405) 241-5836 | |
| Not Available |
| Full Name | Nourish Nutrition & Diabetes Llc |
|---|---|
| Type | Facility |
| Speciality | Dietitian, Registered |
| Location | 3030 Nw Expressway, Oklahoma City, Oklahoma |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275956062 | NPI | - | NPPES |
| NONE | Other | NONE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | 1559 (Oklahoma) | Primary |
| Provider Name | Jennifer C Ray |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1285888917 PECOS PAC ID: 4587729470 Enrollment ID: I20090209000642 |
| Provider Name | Lisa O Johnston |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1316191356 PECOS PAC ID: 0143484162 Enrollment ID: I20120604000098 |
| Provider Name | Amber D Lotspeich Mills |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1699090282 PECOS PAC ID: 0941634554 Enrollment ID: I20200107000544 |
| Provider Name | Bailey Kay Bright |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1811510530 PECOS PAC ID: 4789000829 Enrollment ID: I20200819002383 |
| Mailing Address | Practice Location Address |
|---|---|
| Nourish Nutrition & Diabetes Llc 3030 Nw Expressway, Suite 200-149, Oklahoma City, OK 73112-5474 Ph: (405) 509-1294 | Nourish Nutrition & Diabetes Llc 3030 Nw Expressway, Suite 200-149, Oklahoma City, OK 73112-5474 Ph: (405) 241-5836 |
Rebekah Lea Maxwell, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 921 Ne 13th St, Oklahoma City, OK 73104 Phone: 405-456-1000 Fax: 405-456-1695 | |
Mrs. Lisha M Smathers, RD, LD, CNSC Dietitian Medicare: Medicare Enrolled Practice Location: 9353 Sw 21st St, Oklahoma City, OK 73128 Phone: 405-627-5650 | |
Kelsey Duncan, MS, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3433 Nw 56th St, #970, Oklahoma City, OK 73112 Phone: 405-951-2131 Fax: 405-951-2135 | |
Michelle Tillinger, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 4300 W Memorial Rd, Oklahoma City, OK 73120 Phone: 405-853-0128 | |
Holly Michelle Mistler, L.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 4300 W Memorial Rd, Oklahoma City, OK 73120 Phone: 405-752-3758 Fax: 405-936-5288 | |
Mr. Anthony Ray Perry, R.D., L.D., C.D.E. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 921 Ne 13th St, Oklahoma City, OK 73104 Phone: 405-270-0501 | |
Mercy Hospital Oklahoma City, Inc. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 4300 W Memorial Rd, Oklahoma City, OK 73120 Phone: 405-755-1515 |