BLAKELY KECIA BERRY (NPI# 1700339009) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700339009 |
| Entity Type | Individual |
| Full Name | BLAKELY KECIA BERRY |
| Other Name | BLAKELY KECIA SHAFER |
| Practice Address |
3110 Sw 89th St Ste 200e Oklahoma City OK 73159-7920 |
| Mailing Address |
Po Box 891328 Oklahoma City OK 73189-1328 |
| Practice Telephone | 4057037300 |
| Practice Fax Number | 4057037333 |
| Mailing Telephone | 4057037300 |
| Mailing Fax Number | 4057037333 |
| Enumeration Date | 2016-08-03 |
| Last Update Date | 2016-08-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 2139 | OK | Dietary & Nutritional Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | STATE LICENSE RD LD | 2139 | 01 |
| Street Address |
3110 SW 89TH ST STE 200E |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73159-7920 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083686422 | Darryl D Robinson | Physical Medicine & Rehabilitation | 3110 Sw 89th St, Suite 102, Oklahoma City, OK 73159-7920 | 2006-02-01 |
| 1841732799 | Eih Physicians, Pllc | Orthopaedic Surgery | 3110 Sw 89th St, Ste 200e, Oklahoma City, OK 73159-7920 | 2016-11-09 |
| 1619424595 | John B. Hughes, D.o. | Orthopaedic Surgery | 3110 Sw 89th St, Suite 200, Oklahoma City, OK 73159-7920 | 2016-09-08 |
| 1861854408 | K&r Medical Solutions | Health Maintenance Organization | 3110 Sw 89th St, 102-c, Oklahoma City, OK 73159-7920 | 2016-03-23 |
| 1932574241 | Oklahoma Pain Care LLC | Orthopaedic Surgery | 3110 Sw 89th St, Suite 200d-1, Oklahoma City, OK 73159-7920 | 2015-12-11 |
| 1790174159 | Osu Center for Health Sciences | Clinic/Center | 3110 Sw 89th St, Suite 200c, Oklahoma City, OK 73159-7920 | 2015-01-22 |
| 1134466857 | Kaylee Denise Heim | Nurse Practitioner | 3110 Sw 89th St, Suite 200b, Oklahoma City, OK 73159 | 2013-01-15 |
| 1437467503 | Capital Medical Solutions,pllc | Physical Medicine & Rehabilitation | 3110 Sw 89th St, Suite 102 C, Oklahoma City, OK 73159-7920 | 2010-09-22 |
| 1023240538 | Oklahoma Spine Surgery & Orthopedics | Orthopaedic Surgery | 3110 Sw 89th St, 102, Oklahoma City, OK 73159-7920 | 2009-08-17 |
| 1780816298 | Elite Pain Solutions LLC | Pain Medicine | 3110 Sw 89th St, 102, Oklahoma City, OK 73159-7920 | 2009-08-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346849528 | Mel Vision LLC | Optometrist | 1413 W Interstate 240 Service Rd, Suite E, Oklahoma City, OK 73159 | 2020-10-20 |
| 1053959247 | Phillip J Elassal Dds Pllc | Clinic/Center | 1601 Sw 89th Street #g500, Oklahoma City, OK 73159 | 2019-12-18 |
| 1629573407 | Carrie Lynn Sanchez | Case Manager/Care Coordinator | 2604 Sw 92nd Street, Oklahoma City, OK 73159 | 2018-03-26 |
| 1407368038 | Deborah Dorton | Psychologist | Okc Va Hcs (111a), 921 Ne 13th St, Oklahoma City, OK 73159 | 2017-11-06 |
| 1366969933 | Matthew Lewis Hearne | Case Manager/Care Coordinator | 7504 S Country Club Dr, Apt 105, Oklahoma City, OK 73159 | 2017-08-24 |
| 1043766405 | Pro Hearing, LLC | Clinic/Center | 10404 S Pennsylvania Ave, Oklahoma City, OK 73159 | 2016-08-26 |
| 1952764169 | Doc LLC | Orthopaedic Surgery | 3130 Sw 89th St Ste 200e, Oklahoma City, OK 73159 | 2016-04-04 |
| 1235511288 | Anusha Koneru | Dentist | 1610 W Interstate 240 Service Road, Oklahoma City, OK 73159 | 2015-06-26 |
| 1114347069 | Crystal A Dockery | Family Medicine | 3212 Sw 89th St Ste 100, Oklahoma City, OK 73159 | 2014-04-18 |
| 1790121440 | Kimberly Anne Dyer | Occupational Therapy Assistant | 5725 S Ross, Oklahoma City, OK 73159 | 2013-05-21 |
| Find all providers in zip 73159 | ||||
| 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 |
|---|---|---|---|---|
| 1598370066 | Laci N Patterson | Dietitian, Registered | 9401 Prosper Dr, Oklahoma City, OK 73151-8811 | 2020-09-11 |
| 1326665548 | Olivia Jean Trout | Dietitian, Registered | 4311 Se 57th St, Oklahoma City, OK 73135-3308 | 2020-07-03 |
| 1285257121 | Grace Vose Williams | Dietitian, Registered | 6804 Nw Grand Blvd, Oklahoma City, OK 73116-5415 | 2020-05-27 |
| 1902428337 | Janet Lynn O'kresik | Dietitian, Registered | 5800 Ne 107th St, Oklahoma City, OK 73151-9549 | 2020-05-07 |
| 1356979645 | Kayla Campbell | Dietitian, Registered | Stephenson Cancer Center, 800 Ne 10th Street, Oklahoma City, OK 73104 | 2020-03-31 |
| 1740829803 | Taylor Rose Conner | Dietitian, Registered | 2500 Ne 63rd St, Oklahoma City, OK 73111-8203 | 2020-01-06 |
| 1518511575 | Erin Colletta | Dietitian, Registered | 1200 Childrens Ave Ste 5f, Oklahoma City, OK 73104-4637 | 2019-07-29 |
| 1093370330 | Taylor Oliver | Dietitian, Registered | 408 Sw 145th St, Oklahoma City, OK 73170-7298 | 2019-05-02 |
| 1073090064 | Christine Diane Howze | Dietitian, Registered | 1915 N Saint Clair Ave, Oklahoma City, OK 73107-2833 | 2018-07-23 |
| 1376032722 | Emily Sue Hicks | Dietitian, Registered | 1500 Steeple Chase St, Oklahoma City, OK 73131-1222 | 2018-05-01 |
| Find all providers in OKLAHOMA CITY | ||||
| City | OKLAHOMA CITY |
| Zip Code | 73159 |
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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.