WELL ROOTED HEALTH AND NUTRITION (NPI# 1518515956) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518515956 |
| Entity Type | Organization |
| Organization Name | WELL ROOTED HEALTH AND NUTRITION |
| Practice Address |
3330 Nw 56th St Ste 608 Oklahoma City OK 73112-4470 |
| Mailing Address |
16404 Josiah Pl Edmond OK 73013-9730 |
| Practice Telephone | 4058850270 |
| Practice Fax Number | 4053004492 |
| Mailing Telephone | 4058377003 |
| Enumeration Date | 2019-08-28 |
| Last Update Date | 2019-08-28 |
| Authorized Official Name | UMO CALLINS (OWNER) |
| Authorized Official Telephone | 4058377003 |
| Authorized Official Credential | MS, RD/LD, CSSD, |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133VN1006X |
Dietitian, Registered Specialization: Nutrition, Metabolic |
Dietary & Nutritional Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 200398760A | 05 |
| Street Address |
3330 NW 56TH ST STE 608 |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73112-4470 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215269592 | Umo Callins | Dietitian, Registered | 3330 Nw 56th St Ste 608, Oklahoma City, OK 73112-4470 | 2010-02-11 |
| 1548825581 | Vitalis Metabolic Health, Pllc | Internal Medicine | 3330 Nw 56th St Ste 608, Oklahoma City, OK 73112-4470 | 2019-05-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972145886 | Crystopher J Long | Physical Therapist | Parkway Post Acute Recovery Center, 6312 N Portland, Oklahoma City, OK 73112 | 2019-10-11 |
| 1700448974 | Joy Healthcare Services of Okc LLC | Home Health | 4200 Perimeter Center Drive, Suite 125, Oklahoma City, OK 73112 | 2019-07-08 |
| 1801380159 | Crysten Cheatwood Do, PC | Obstetrics & Gynecology | 3433 Nw 56 Street, Suite 210b, Oklahoma City, OK 73112 | 2018-06-20 |
| 1306352521 | Victoria Ann Kappel | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 3466 Nw 56th St. Suite 760, Oklahoma City, OK 73112 | 2017-12-26 |
| 1871014886 | Tanesia Michelle Smith | Case Management | 2629 W I44 Service Rd, Suite 202, Oklahoma City, OK 73112 | 2017-06-29 |
| 1619414257 | Edwige Gwanyama | Student in an Organized Health Care Education/Training Program | 2401 Nw 39 Th Expy Ste 103, Oklahoma City, OK 73112 | 2017-01-20 |
| 1619424017 | Jennifer Beaver | Peer Specialist | 2808 Nw 31st, Oklahoma City, OK 73112 | 2016-09-02 |
| 1417305368 | Gabriel Plank | Counselor | 3000 Founders Blvd Suite239, Oklahoma City, OK 73112 | 2016-06-01 |
| 1912364365 | Sams East Inc | Durable Medical Equipment & Medical Supplies | 4101 N May Ave, Oklahoma City, OK 73112 | 2016-01-15 |
| 1679938922 | Portland Anesthesia Associates LLC | Nurse Anesthetist, Certified Registered | 5501 N Porland Ave, Oklahoma City, OK 73112 | 2015-12-30 |
| Find all providers in zip 73112 | ||||
| Taxonomy Code | 133VN1006X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| Specialization | Nutrition, Metabolic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558867788 | Ashley Lynn Ethriedge | Dietitian, Registered | 1200 N Phillips Ave Ste 12100, Oklahoma City, OK 73104-4600 | 2018-04-05 |
| 1174805147 | Jessica Rae Shaw | Dietitian, Registered | 1000 N Lincoln Ave, Sutie 2900, Oklahoma City, OK 73104 | 2011-09-15 |
| 1659593168 | Banister & Associates LLC | Dietitian, Registered | 4200 West Memorial Rd, Suite 508, Oklahoma City, OK 73120 | 2007-05-03 |
| 1134220171 | William Keith Glodowski | Dietitian, Registered | 921 Ne 13th St Dept Veterans, N&fs 120, Oklahoma City, OK 73104-5007 | 2006-09-25 |
| 1811510530 | Bailey Chambers | Dietitian, Registered | 3330 Nw 56th St Ste 500, Oklahoma City, OK 73112-4470 | 2020-05-28 |
| 1962783290 | Lacey Bixler | Dietitian, Registered | 1000 N Lincoln Blvd, Suite 2900, Oklahoma City, OK 73104-3252 | 2011-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104191931 | Suzanne Elizabeth Gauldin | Dietitian, Registered | 12175 N 179th East Ave, Collinsville, OK 74021-6259 | 2012-03-12 |
| 1982747861 | Betty Jean Chuculate | Dietitian, Registered | 1265 South Utica Ste. 100n, Tulsa, OK 74104-4090 | 2007-02-14 |
| 1285886713 | Comanche County Healthcare Corp | Dietitian, Registered | 3201 W Gore Blvd, Suite 103, Lawton, OK 73505-6378 | 2008-10-15 |
| 1851513600 | Rebecca Sue Hollander | Dietitian, Registered | 3401 W Gore Blvd, Lawton, OK 73505-6332 | 2007-05-02 |
| 1245452002 | Jan Marie Miller | Dietitian, Registered | 3401 W Gore Blvd, Lawton, OK 73505-6332 | 2007-05-02 |
| City | OKLAHOMA CITY |
| Zip Code | 73112 |
Please comment or provide details below to improve the information on WELL ROOTED HEALTH AND NUTRITION.
| 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.