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BIG BLUE STAR LLC NPI 1396072344


NPI Information

NPI: 1396072344
Provider Name: BIG BLUE STAR LLC

Doing Business As: WEIGHTWISE

Classification: Dietitian, Registered - 133V00000X
Entity Type: Organization
Address:
1800 RENAISSANCE BLVD STE 200
EDMOND, OK
ZIP 73013
Phone: (404) 359-2473
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BIG BLUE STAR LLC is a dietitian registered in Edmond, OK. The provider is 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. BIG BLUE STAR LLC NPI is 1396072344. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Weightwise.

The provider's business location address is:

1800 RENAISSANCE BLVD STE 200
EDMOND, OK
ZIP 73013-023
Phone: (404) 359-2473

The provider's authorized official is Toby Daniel Broussard .
The authorized official title is Co Owner and has the following contact phone number (405) 974-8412.

The enumeration date for this NPI number is 11/12/2009 and was last updated on 12/17/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208600000XSurgeryNo
2174400000XSpecialistNo
3291U00000XClinical Medical LaboratoryNo
4133V00000XDietitian, RegisteredYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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