Organization · Type 2 NPI

St. John Physicians, Inc.

Registered Dietitian · Tulsa, OK

NPI number 1528564929 Active

Practice location

1717B S Utica Ave Ste 205
Tulsa, OK 74104-5332

Call (918) 744-2444 Map

Fax (918) 744-2483

Mailing address

1923 S Utica Ave # DT1000
Tulsa, OK 74104-6520

Specialties and licenses

Taxonomy	Code	License
Registered Dietitian Primary	133V00000X	None listed
Registered Nurse	163W00000X	None listed
Diabetes Educator Registered Nurse	163WD0400X	None listed

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…

5 other providers at this address

Other registered dietitian providers in Tulsa

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NPI record

NPI: 1528564929
Entity type: Organization (Type 2)
Issued: Apr 4, 2018
Last updated: Apr 4, 2018
Status: Active
Subpart: Yes of St. John Physicians, Inc.

Other names

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SJC Outpatient Diabetes Center · doing business as
SJC Outpatient Diabetes Center · doing business as

Authorized official

James Bryan Fissel
Director Chief Financial Officer
(918) 748-7617

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1528564929

St. John Physicians, Inc.'s National Provider Identifier is 1528564929, issued on Apr 4, 2018. The primary taxonomy on file is Registered Dietitian (133V00000X), and the practice location is in Tulsa, OK. The record was last updated on Apr 4, 2018.