NOURISH NUTRITION & DIABETES LLC
NPI 1275956062
Dietitian, Registered in Oklahoma City, OK

NPI Status: Active since January 29, 2014

Contact Information

3030 NW EXPRESSWAY
SUITE 200-149
OKLAHOMA CITY, OK
ZIP 73112
Phone: (405) 241-5836

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  • Organization
  • Dietitian, Registered
  • Accepts Insurance

About NOURISH NUTRITION & DIABETES LLC

This page provides the complete NPI Profile along with additional information for Nourish Nutrition & Diabetes Llc, a provider established in Oklahoma City, Oklahoma operating as a Dietitian, Registered. The healthcare provider is registered in the NPI registry with number 1275956062 assigned on January 2014. The practitioner's primary taxonomy code is 133V00000X with license number 1559 (OK). The provider is registered as an organization and their NPI record was last updated 8 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Lisa Johnston Rd (Owner And Dietitian)

NPI
1275956062
Provider Name
NOURISH NUTRITION & DIABETES LLC
Entity Type
Organization
Location Address
3030 NW EXPRESSWAY SUITE 200-149 OKLAHOMA CITY, OK 73112
Location Phone
(405) 241-5836
Mailing Address
3030 NW EXPRESSWAY SUITE 200-149 OKLAHOMA CITY, OK 73112
Mailing Phone
(405) 509-1294
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-29-2014
Last Update Date
03-23-2017
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Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Dietitian, Registered

Taxonomy Code
133V00000X
Type
Dietary & Nutritional Service Providers
License No.
1559
License State
OK
Taxonomy Description
A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Choice Bronze HSA (QualChoice) - POS
  • Complete Gold - PPO
  • Complete Gold + Vision + Adult Dental - PPO
  • Complete Silver (QualChoice) - POS
  • Connected Silver - PPO
  • Connected Silver (QualChoice) - POS
  • Connected Silver (QualChoiceLife) - PPO
  • Connected Silver + Vision + Adult Dental - PPO
  • Elite Bronze - PPO
  • Elite Bronze + Vision + Adult Dental - PPO
  • Complete Gold - EPO
  • Complete Gold + Vision + Adult Dental - EPO
  • Complete Silver - EPO
  • Complete Silver + Vision + Adult Dental - EPO
  • Elite Bronze - EPO
  • Elite Bronze + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Everyday Gold - EPO
  • Everyday Gold + Vision + Adult Dental - EPO
  • Clear Silver - EPO
  • Elite Bronze - EPO
  • Elite Bronze + Vision + Adult Dental - EPO
  • Elite Gold - EPO
  • Elite Gold + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Everyday Gold - EPO
  • Everyday Gold + Vision + Adult Dental - EPO
  • Focused Silver - EPO
  • Complete Gold - EPO
  • Complete Gold + Vision + Adult Dental - EPO
  • Complete Silver - EPO
  • Complete Silver + Vision + Adult Dental - EPO
  • Everyday Gold - EPO
  • Everyday Gold + Vision + Adult Dental - EPO
  • Focused Silver - EPO
  • Focused Silver + Vision + Adult Dental - EPO
  • Standard Gold - EPO
  • Standard Gold + Vision + Adult Dental - EPO
  • Elite Bronze - PPO
  • Elite Bronze + Vision + Adult Dental - PPO
  • Elite Gold - PPO
  • Elite Gold + Vision + Adult Dental - PPO
  • Everyday Bronze - PPO
  • Everyday Bronze + Vision + Adult Dental - PPO
  • Everyday Gold - PPO
  • Everyday Gold + Vision + Adult Dental - PPO
  • Focused Silver - PPO
  • Focused Silver + Vision + Adult Dental - PPO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

LISA JOHNSTON RD

Authorized Official Title
OWNER AND DIETITIAN
Authorized Official Phone
(405) 509-1294

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
OKAAA4070MEDICARE UPIN (02)OK 
NONEOTHER (01)NONE

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1275956062
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2214518512012
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 1 + 4 + 5 + 1 + 8 + 5 + 1 + 2 + 0 + 1 + 2 + 24 = 58
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 58 = 22

The NPI number 1275956062 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1174601181MRS. LAUREN JANE HIGDON MS OTRL
Individual
Occupational Therapist3030 NW EXPRESSWAY SUITE 809
OKLAHOMA CITY, OK 73112
(405) 917-7160
1386866937 DERICK D. DEWEBER M.S., CCC-SLP
Individual
Speech-Language Pathologist3030 NW EXPRESSWAY SUITE 809
OKLAHOMA CITY, OK 73112
(405) 917-7160
1851585509MRS. COURTNEY ELLEN POPLIN COTA/L
Individual
Occupational Therapy Assistant3030 NW EXPRESSWAY SUITE 809
OKLAHOMA CITY, OK 73112
(405) 973-5382
1538356498 JACOB BENJAMIN STONE MOTR/L
Individual
Occupational Therapist3030 NW EXPRESSWAY SUITE 809
OKLAHOMA CITY, OK 73112
(405) 917-7160
1942472345 CAROLYN ANN BARRERA COTA/L
Individual
Occupational Therapy Assistant3030 NW EXPRESSWAY SUITE 809
OKLAHOMA CITY, OK 73112
(405) 917-7160
1841457660 CANDACE MARIE VANWEY PTA
Individual
Physical Therapy Assistant3030 NW EXPRESSWAY STE 809
OKLAHOMA CITY, OK 73112
(405) 917-7160
1841448305 LEAH CERISE CANNADY CCC-SLP
Individual
Speech-Language Pathologist3030 NW EXPRESSWAY
OKLAHOMA CITY, OK 73112
(405) 917-7160
1215162714MRS. KATHERINE MARIE WHITE COTA/L
Individual
Community Health Worker3030 NW EXPRESSWAY
OKLAHOMA CITY, OK 73112
(405) 917-7160
1275827883MRS. DAVA PATTEN BYRD MS CCC-SLP
Individual
Speech-Language Pathologist3030 NW EXPRESSWAY SUITE 809
OKLAHOMA CITY, OK 73112
(405) 917-7160
1568759587SUPPLEMENTAL HEALTHCARE
Organization
Speech-Language Pathologist3030 NW EXPRESSWAY SUITE #809
OKLAHOMA CITY, OK 73112
(405) 917-7160
1699044198MS. LUCY HARRIS COTA
Individual
Occupational Therapy Assistant3030 NW EXPRESSWAY SUITE 809
OKLAHOMA CITY, OK 73112
(405) 917-7160
1700157559MRS. NANCY J THOMPSON COTA
Individual
Occupational Therapy Assistant3030 NW EXPRESSWAY SUITE 809
OKLAHOMA CITY, OK 73112
(405) 917-7160
1750652475 SUSIE PHILLIPS
Individual
Physical Therapist3030 NW EXPRESSWAY SUITE 809
OKLAHOMA CITY, OK 73112
(866) 848-8813
1366785123MR. SHAUN WRIGHT
Individual
Counselor (Professional)3030 NW EXPRESSWAY SUITE 200
OKLAHOMA CITY, OK 73112
(405) 543-2603
1083051510MS. ANABEL MUNOZ
Individual
Counselor (Professional)3030 NW EXPRESSWAY SUITE 200
OKLAHOMA CITY, OK 73112
(405) 543-2603
1306287156 ELLIZABETH ROSE NELSON
Individual
Counselor (Professional)3030 NW EXPRESSWAY SUITE 200
OKLAHOMA CITY, OK 73112
(405) 543-2603
1710329974MRS. REINA IVONNE ESCALANTE
Individual
Counselor (Professional)3030 NW EXPRESSWAY SUITE 200
OKLAHOMA CITY, OK 73112
(405) 543-2603
1407281769 AMANDA ANN INGALLS
Individual
Counselor (Professional)3030 NW EXPRESSWAY SUITE 200
OKLAHOMA CITY, OK 73112
(405) 543-2603
1922415082 HANNAH MCCLENDON
Individual
Physical Therapy Assistant3030 NW EXPRESSWAY STE 809
OKLAHOMA CITY, OK 73112
(405) 917-7160
1679980601MRS. ANGIE JEANETTE MARTIN PTA
Individual
Physical Therapy Assistant3030 NW EXPRESSWAY SUITE 809
OKLAHOMA CITY, OK 73112
(405) 917-7160

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1275956062, enumerated in the NPI registry as an "organization" on January 29, 2014

The provider is located at 3030 Nw Expressway Suite 200-149 Oklahoma City, Ok 73112 and the phone number is (405) 241-5836

This medical organization specializes in Dietitian, Registered with taxonomy code 133V00000X

The provider might be accepting Accepts: Ambetter from Arkansas Health & Wellness, Ambetter. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on January 29, 2014. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.