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Active NPI 1528293586 Individual Practitioner Female Practitioner

Joleen Wilson , RD, LD

Dietitian, Registered • Broken Arrow, OK

Professional Overview & Biography Verified Profile Summary

Joleen Wilson, RD, LD is a registered healthcare professional specializing in Dietitian, Registered in Broken Arrow, OK. Practice services are available at 6336 S 116TH EAST AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

6336 S 116th East Ave

Broken Arrow, OK 740121251

Telephone 9182808456
Fax 8554386802
Associated Practice Facility / Clinic
🏢 Meals By Joleen Llc Facility NPI 1003380791

Specialty Benchmarks & Practice Insights

Comparative analytics for Dietitian, Registered in Broken Arrow, OK

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 26.0 Yrs
State Avg: 18.1 Yrs
Regional Practice Density
23 Specialists

Practicing in Broken Arrow, OK (958 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-12-31
Dietitian, Registered Primary Specialty

NUCC Taxonomy Code: 133V00000X

State License 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.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Ld
1842 (OK)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

14 Historical Events
📍
Updated Practice Location November 20, 2023

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

📍
Updated Business Mailing Address November 20, 2023

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

👤
Provider Name / Credentials Updated November 20, 2023

Recorded as JOLEEN WILSON, RD/LD

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

Dietitian, Registered (License #1842 in OK)

📍
Updated Practice Location September 16, 2020

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

📍
Updated Business Mailing Address September 16, 2020

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

👤
Provider Name / Credentials Updated September 16, 2020

Recorded as JOLEEN WILSON, RD, LD, CNSC

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

Dietitian, Registered (License #37001892A in IN)

NPI Profile Active October 02, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location October 02, 2012

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

📍
Updated Business Mailing Address October 02, 2012

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

👤
Provider Name / Credentials Updated October 02, 2012

Recorded as JOLEEN WILSON, RD, CNSC, LD

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

Dietitian, Registered (License #1842 in OK)

🟢
Initial NPI Registration & Enumeration May 20, 2009

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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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

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.