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Joleen Wilson , RD, LD

Dietitian, Registered β€’ Broken Arrow, OK

Active NPI 1528293586 Individual Practitioner Female Practitioner
Practice location in NPPES

6336 S 116th East Ave
Broken Arrow, OK 740121251

Call 9182808456 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

6336 S 116th East Ave

Broken Arrow, OK 740121251

Telephone 9182808456
Fax 8554386802
Organization at the Same NPPES Address or Phone
Meals By Joleen Llc Facility NPI 1003380791

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2009

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Broken Arrow and Oklahoma

22 active clinicians are listed under Dietitian, Registered with a practice address in Broken Arrow, OK (945 in Oklahoma).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Broken Arrow

0% of these 22 clinicians have the CMS telehealth indicator.

4.5% of these 22 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2023-12-31
Dietitian, Registered Primary Specialty

NUCC Taxonomy Code: 133V00000X

License # reported to NPPES OK 1842

A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Oklahoma State Board of Medical Licensure.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Other Identifier Ld
1842 (OK)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

14 Historical Events
πŸ“
Updated Practice Location November 20, 2023

Registered at 6336 S 116TH EAST AVE, BROKEN ARROW, OK 740121251 (Tel: 9182808456)

πŸ“
Updated Business Mailing Address November 20, 2023

Registered at 1701 S MAIN ST, PMB 2735, BROKEN ARROW, OK 740139701 (Tel: 9182808456)

πŸ‘€
Provider Name / Credentials Updated November 20, 2023

Recorded as JOLEEN WILSON, RD/LD

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) November 20, 2023

Dietitian, Registered (license number reported to NPPES: OK 1842)

πŸ“
Updated Practice Location September 16, 2020

Registered at 8988 S SHERIDAN RD STE F, TULSA, OK 741335035 (Tel: 7854359759)

πŸ“
Updated Business Mailing Address September 16, 2020

Registered at 8988 S SHERIDAN RD STE F, TULSA, OK 741335035 (Tel: 7854359759)

πŸ‘€
Provider Name / Credentials Updated September 16, 2020

Recorded as JOLEEN WILSON, RD, LD, CNSC

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) September 16, 2020

Dietitian, Registered (license number reported to NPPES: IN 37001892A)

βœ…
NPI Profile Active October 02, 2012

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) October 02, 2012

Registered at 6151 S YALE AVE, SUITE 1307, TULSA, OK 741361907 (Tel: 9185022000)

πŸ“
Business Mailing Address (Initial Record) October 02, 2012

Registered at 6600 S YALE AVE, SUITE 1200, TULSA, OK 741363347 (Tel: 9184886001)

πŸ‘€
Provider Name / Credentials (Initial Record) October 02, 2012

Recorded as JOLEEN WILSON, RD, CNSC, LD

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) October 02, 2012

Dietitian, Registered (license number reported to NPPES: OK 1842)

🟒
Initial NPI Registration & Enumeration May 20, 2009

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1528293586
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 20, 2009
Last Update: December 31, 2023
Sole Proprietor: No

Mailing Address

1701 S Main St, Pmb 2735

Broken Arrow, OK 740139701

Phone: 9182808456

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.