MALLORY CRUTCHFIELD (NPI# 1043751241) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043751241 |
| Entity Type | Individual |
| Full Name | MALLORY CRUTCHFIELD |
| Credential | MS, RD/LD |
| Practice Address |
8801 S 101st East Ave Tulsa OK 74133-5716 |
| Mailing Address |
8735 E 46th Pl Tulsa OK 74145-7101 |
| Practice Telephone | 9182944070 |
| Mailing Telephone | 9187281535 |
| Enumeration Date | 2017-03-20 |
| Last Update Date | 2017-03-20 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 1821319278 | OK | Dietary & Nutritional Service Providers |
| Street Address |
8801 S 101ST EAST AVE |
| City | TULSA |
| State | OK |
| Zip Code | 74133-5716 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972509727 | Wayne Joseph Gartner | Nurse Anesthetist, Certified Registered | 8801 S 101st East Ave, Tulsa, OK 74133-5716 | 2005-06-27 |
| 1932727047 | Ashley Rae Flowers | Student in an Organized Health Care Education/Training Program | 8801 S 101st East Ave, Tulsa, OK 74133-5716 | 2020-07-07 |
| 1023669694 | Heather Nicole Chase | Physician Assistant | 8801 S 101st East Ave, Tulsa, OK 74133-5716 | 2019-09-25 |
| 1194285825 | Kerri Francis | Dietitian, Registered | 8801 S 101st East Ave, Tulsa, OK 74133-5716 | 2019-03-20 |
| 1194227744 | Ashley L Wallace | Registered Nurse | 8801 S 101st East Ave, Tulsa, OK 74133 | 2018-02-28 |
| 1174034003 | Teresa Kathryn Hundley | Nurse Practitioner | 8801 S 101st East Ave, Tulsa, OK 74133-5716 | 2017-10-18 |
| 1548701949 | Jennifer T Watkins | Dietitian, Registered | 8801 S 101st East Ave, Tulsa, OK 74133-5716 | 2017-03-17 |
| 1013456326 | Ahs Southcrest Hospital, LLC | Dietitian, Registered | 8801 S 101st East Ave, Tulsa, OK 74133-5716 | 2017-02-20 |
| 1124564075 | Emily Hutchinson | Nurse Practitioner | 8801 S 101st East Ave, Tulsa, OK 74133-5716 | 2017-01-17 |
| 1902263270 | Carl Jackson | Physician Assistant | 8801 S 101st East Ave, Tulsa, OK 74133-5716 | 2016-01-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932725058 | Economy Pharmacy | Pharmacy | 10120 E 91st, Tulsa, OK 74133 | 2020-06-24 |
| 1710539424 | Fresenius Medical Care Tulsa, LLC | Clinic/Center | 9310 East 91st Street, Tulsa, OK 74133 | 2019-07-12 |
| 1003382060 | Carefirst Pharmacy Tulsa, Inc. | Pharmacy | 6214 S. Sheridan Rd, Tulsa, OK 74133 | 2018-10-17 |
| 1003397332 | Adekemi Taiwo | Nurse Practitioner | Hillcrest South Medical Plaza, 8803 S. 101 St E. Ave. Suite 350, Tulsa, OK 74133 | 2018-08-24 |
| 1346732013 | Lauren Nichols | Dentist | 7707 E 111th St Ste 105, Tulsa, OK 74133 | 2018-05-30 |
| 1699264259 | Courtney N Johnson, Pllc | Dentist | 7901 S Sheridan Rd Unit A, Tulsa, OK 74133 | 2018-05-08 |
| 1417464199 | Tulsa Medical and Orthopedic Center PC | Family Medicine | 8165 S Mingo Rd Ste 200, Tulsa, OK 74133 | 2018-01-04 |
| 1013421023 | Susan C. Willard, Do, Pllc | Family Medicine | 6532 E. 71st Street, Suite 150, Tulsa, OK 74133 | 2017-11-29 |
| 1851800825 | Seyva LLC | Clinic/Center | 8522 S 70th E Ave, Tulsa, OK 74133 | 2017-09-21 |
| 1477072031 | Amanda Dawn Long | Registered Nurse | 10507 E 91st St Ste 310, Tulsa, OK 74133 | 2017-09-14 |
| Find all providers in zip 74133 | ||||
| Taxonomy Code | 133V00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration. |
| Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619528189 | Haley Billings | Dietitian, Registered | 1816 S Carson Ave Apt 223, Tulsa, OK 74119-5030 | 2019-09-25 |
| 1811498058 | Sydney Elyse Cavero-egusquiza | Dietitian, Registered | 4815 S Harvard Ave Ste 253, Tulsa, OK 74135-3066 | 2018-02-22 |
| 1407363773 | Aubrey Kayee Golbek | Dietitian, Registered | 1712 E 14th St, Tulsa, OK 74104-4434 | 2018-01-08 |
| 1528573862 | Tawnie Goodwin | Dietitian, Registered | 1717 S Utica Ave Ste 205, Tulsa, OK 74104-5345 | 2017-12-08 |
| 1033636915 | Mark Brizendine | Dietitian, Registered | Hillcrest Medical Center 1120 S. Utica Ave, Tulsa, OK 74104 | 2017-08-23 |
| 1699298927 | Paris Delani Doty | Dietitian, Registered | 1819 E 19th St Ste 301, Tulsa, OK 74104-5407 | 2017-07-19 |
| 1528506839 | Ronda Bender | Dietitian, Registered | 6839 E 105th St, Tulsa, OK 74133-6758 | 2017-02-07 |
| 1467813428 | Amy Joyce Burden | Dietitian, Registered | 3530 E 21st Pl, Tulsa, OK 74114-1969 | 2016-03-17 |
| 1861867434 | Emily J Lawrance | Dietitian, Registered | 2000 S Wheeling Ave Ste 920, Tulsa, OK 74104 | 2015-12-08 |
| 1336539709 | Miranda Brown | Dietitian, Registered | 2517 S Harvard Pl # 17d, Tulsa, OK 74114-4638 | 2015-01-23 |
| Find all providers in TULSA | ||||
Please comment or provide details below to improve the information on MALLORY CRUTCHFIELD.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.