MS. SHELBY LYNN DEDERICK


Address: 4304 E 52nd Pl, Tulsa, OK 74135-3915
Phone: 7855542497

MS. SHELBY LYNN DEDERICK (NPI# 1346558616) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1346558616
Entity Type Individual
Full Name MS. SHELBY LYNN DEDERICK
Credential RD/LD
Practice Address 4304 E 52nd Pl
Tulsa
OK 74135-3915
Practice Telephone 7855542497
Mailing Telephone 7855542497
Enumeration Date 2010-09-20
Last Update Date 2010-09-20
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 133V00000X Dietitian, Registered 1533 OK Dietary & Nutritional Service Providers

Office Location

Street Address 4304 E 52ND PL
City TULSA
State OK
Zip Code 74135-3915

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1437761590 Dr. Whitney M. Ellsworth, Dpt, Pllc Physical Therapist 4185 S Harvard Ave, Suite E-1, Tulsa, OK 74135 2020-08-20
1942839089 Kimberly Renee Gillens Student in an Organized Health Care Education/Training Program 4502 E 41st Street Obgyn Department, Tulsa, OK 74135 2020-04-01
1528525524 Everest Pain Management Clinic/Center 4134 S Harvard Ave Suite B1, Tulsa, OK 74135 2019-02-26
1326524216 Shelley Deeann Anderson Technician 7359 S 68th, Tulsa, OK 74135 2018-07-14
1811489065 Taylor Diane Spears Behavioral Analyst 4835 S Fulton Ave Suite 104, Tulsa, OK 74135 2018-06-04
1225547821 Heather Nicole Freed Counselor 4363 S Harvard Ave, Tulsa, OK 74135 2017-09-26
1306363924 Danielle Walker Case Manager/Care Coordinator 3244 S Lakewood Ave Apt 4e, Tulsa, OK 74135 2017-08-24
1346766078 Angels Place Day Training, Developmentally Disabled Services 3919 S. Oswego Avenue, Tulsa, OK 74135 2017-08-15
1659800019 Welena-phay Kamamma Boren Counselor 4636 S Harvard Avenue, Tulsa, OK 74135 2017-06-08
1346774197 Brandie Herren Registered Nurse 6333 E Skelly Drive, Tulsa, OK 74135 2017-04-19
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Taxonomy Information

Taxonomy Code 133V00000X
Grouping Dietary & Nutritional Service Providers
Classification Dietitian, Registered

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Competitor

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City TULSA
Zip Code 74135

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Dataset Information

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.

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