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ST. JOHN PHYSICIANS INC. NPI 1528564929


NPI Information

NPI: 1528564929
Provider Name: ST. JOHN PHYSICIANS, INC.

Doing Business As: SJC OUTPATIENT DIABETES CENTER

Classification: Dietitian, Registered - 133V00000X
Entity Type: Organization
Address:
1717B S UTICA AVE STE 205
TULSA, OK
ZIP 74104
Phone: (918) 744-2444
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ST. JOHN PHYSICIANS, INC. is a dietitian registered in Tulsa, 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. ST. JOHN PHYSICIANS, INC. NPI is 1528564929. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Sjc Outpatient Diabetes Center.

The provider's business location address is:

1717B S UTICA AVE STE 205
TULSA, OK
ZIP 74104-332
Phone: (918) 744-2444
Fax: (918) 744-2483

The provider's authorized official is James Bryan Fissel .
The authorized official title is Director Chief Financial Officer and has the following contact phone number (918) 748-7617.

The enumeration date for this NPI number is 4/4/2018 and was last updated on 4/4/2018.


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
1133V00000XDietitian, RegisteredYes
2163W00000XRegistered NurseNo
3163WD0400XRegistered NurseDiabetes EducatorNo

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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