Individual provider · Type 1 NPI

Shannon Etoile Patovisti, RDN

Registered Dietitian · Bixby, OK

NPI number 1114847159 Active

Practice location

11541 S 66th East Ave
Bixby, OK 74008-8222

Specialties and licenses

TaxonomyCodeLicense
Registered Dietitian Primary 133V00000X86343273 (OK)

Registered Dietitian: 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…

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About NPI 1114847159

Shannon Etoile Patovisti, RDN's National Provider Identifier is 1114847159, issued on Jul 20, 2026. The primary taxonomy on file is Registered Dietitian (133V00000X), and the practice location is in Bixby, OK. The record was last updated on Jul 20, 2026.