MS. DIANA LYNN WALLACE (NPI# 1497837645) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497837645 |
| Entity Type | Individual |
| Full Name | MS. DIANA LYNN WALLACE |
| Credential | R.D. L.D. |
| Practice Address |
8086 S Yale Ave Ste. 184 Tulsa OK 74136-9003 |
| Practice Telephone | 9186915768 |
| Mailing Telephone | 9186915768 |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 587 | OK | Dietary & Nutritional Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669859849 | Diana Wallace | Occupational Therapist | 1207 N 33rd St, Renton, WA 98056-1943 | 2015-04-27 |
| 1457433146 | Diana Kay Wallace | Counselor | 518 S Jeffers St Ste 7, North Platte, NE 69101-5370 | 2006-10-20 |
| 1710993845 | Diana Renee Wallace | Obstetrics & Gynecology | 7900 Turin Road, Building 4, Suite 2, Rome, NY 13440-7423 | 2006-07-31 |
| 1336145432 | Diana Wallace | Social Worker | 1 Nunn Dr, University Center, Suite 440, Newport, KY 41099-0002 | 2005-06-23 |
| 1790027852 | Diana Tyson Wallace | Counselor | 3737 Lander Rd, Cleveland, OH 44124-5712 | 2013-03-26 |
| Street Address |
8086 S YALE AVE STE. 184 |
| City | TULSA |
| State | OK |
| Zip Code | 74136-9003 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932488509 | N2med Supplies, LLC | Durable Medical Equipment & Medical Supplies | 8086 S Yale Ave, Suite 258, Tulsa, OK 74136-9003 | 2011-08-12 |
| 1730263245 | Nutrition Care, LLC | Dietitian, Registered | 8086 S Yale Ave, Ste. 184, Tulsa, OK 74136-9003 | 2006-10-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912520883 | Esmeralda Rosales | Behavior Technician | 7306 S. Yale Ave, Tulsa, OK 74136 | 2020-05-26 |
| 1851939631 | Kenneth Aaron Pohl | Behavior Technician | 7107 S. Braden Ave. Suite 195, Tulsa, OK 74136 | 2019-12-12 |
| 1578109195 | Brett Ray Weaver | Chiropractor | Kelly Bldg Ste 106, 6565 S Yale Ave, Tulsa, OK 74136 | 2019-11-19 |
| 1477194488 | Adhd and Mood Center of Oklahoma | Clinic/Center | 6565 South Yale Ave, Suite 706, Tulsa, OK 74136 | 2019-10-01 |
| 1093272510 | Whitney Christine Pilkenton | Registered Nurse | 6161 S. Yale Ave., Tulsa, OK 74136 | 2019-02-21 |
| 1538639190 | Osu Center for Health Sciences | Clinic/Center | 6465 S. Yale Ave. Suite 514, Tulsa, OK 74136 | 2018-11-27 |
| 1043786304 | Saint Francis Hospital, Inc. | Hospice Care, Community Based | 6600 South Yale Ave Suite 350, Tulsa, OK 74136 | 2018-10-15 |
| 1891282877 | Premier Rheumatology of Oklahoma | Internal Medicine | 6114 E. 61st Street, Tulsa, OK 74136 | 2018-04-16 |
| 1679092175 | Grace Eloise Evans | Counselor | 6655 S. Yale Ave, Tulsa, OK 74136 | 2017-09-15 |
| 1598283756 | David Oladipo Abioye | Counselor | 7110 S Utica Avenue, Suite 613, Tulsa, OK 74136 | 2017-09-07 |
| Find all providers in zip 74136 | ||||
| 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 | ||||
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| 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.