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Active NPI 1215168471 Individual Practitioner Female Practitioner

Amanda Nicole Thomas , IBCLC, RDN, LD

Dietitian, Registered • Stillwater, OK

Professional Overview & Biography Verified Profile Summary

Amanda Thomas, IBCLC, RDN, LD is a registered healthcare professional specializing in Dietitian, Registered in Stillwater, OK. Practice services are available at 1821 W MCMURTRY RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1821 W Mcmurtry Rd

Stillwater, OK 740751013

Telephone 4052012445

Specialty Benchmarks & Practice Insights

Comparative analytics for Dietitian, Registered in Stillwater, OK

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 37.0 Yrs
State Avg: 18.1 Yrs
Regional Practice Density
26 Specialists

Practicing in Stillwater, 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: 2025-05-14
Dietitian, Registered Primary Specialty

NUCC Taxonomy Code: 133V00000X

State License OK 1955

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.

Career & Practice History Timeline

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

10 Historical Events
📍
Updated Practice Location June 03, 2025

Registered at 1821 W MCMURTRY RD, STILLWATER, OK 740751013 (Tel: 4052012445)

📍
Updated Business Mailing Address June 03, 2025

Registered at 1821 W MCMURTRY RD, STILLWATER, OK 740751013 (Tel: 4052012445)

👤
Provider Name / Credentials Updated June 03, 2025

Recorded as AMANDA THOMAS, IBCLC, RDN/LD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 03, 2025

Dietitian, Registered (License #1955 in OK)

NPI Profile Active August 05, 2009

NPI status registered as active in NPPES database

📍
Updated Practice Location August 05, 2009

Registered at 1500 N 6TH ST, PONCA CITY, OK 746012827 (Tel: 5807627561)

📍
Updated Business Mailing Address August 05, 2009

Registered at 1500 N 6TH ST, PONCA CITY, OK 746012827 (Tel: 5807627561)

👤
Provider Name / Credentials Updated August 05, 2009

Recorded as AMANDA HENDERSON

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 05, 2009

Case Manager/Care Coordinator

🟢
Initial NPI Registration & Enumeration August 05, 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: 1215168471
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 05, 2009
Last Update: June 03, 2025
Sole Proprietor: No

Mailing Address

1821 W Mcmurtry Rd

Stillwater, OK 740751013

Phone: 4052012445

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

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