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Active NPI 1356788400 Individual Practitioner Female Practitioner

Beverly Kay Kelley , RD, LD, CDE

Dietitian, Registered • Tulsa, OK

Professional Overview & Biography Verified Profile Summary

Beverly Kelley, RD, LD, CDE is a registered healthcare professional specializing in Dietitian, Registered in Tulsa, OK. Practice services are available at 1717B S UTICA AVE under active NPI credentials.

Frequently performed procedures and clinical services include diabetes outpatient self-management training services, individual, per, medical nutrition therapy, assessment and intervention, each. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1717b S Utica Ave
Suite 205

Tulsa, OK 741045333

Telephone 9187442273
Fax 9187442483
Associated Practice Facility / Clinic
🏢 St John Health System Facility NPI 1508226507

Specialty Benchmarks & Practice Insights

Comparative analytics for Dietitian, Registered in Tulsa, OK

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 9.6 Yrs
State Avg: 18.1 Yrs
Regional Practice Density
187 Specialists

Practicing in Tulsa, OK (958 Statewide)

Telehealth Adoption Rate
1.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
58.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2018)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
G0108 Diabetes outpatient self-management training services, individual, per 30 minutes
182 49 $116.00 $51.24
97802 Medical nutrition therapy, assessment and intervention, each 15 minutes
50 12 $75.00 $27.96

Medical Specialties & State Licenses

Dietitian, Registered Primary Specialty

NUCC Taxonomy Code: 133V00000X

State License OK LD472

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners
Debra Gibson , RN, BSN, CDE

Registered Nurse - Diabetes Educator

NPI 1255866554

Registered Nurse, Bachelor of Science in Nursing, Certified Diabetes Educator

Tabitha Sisemore , RN

Registered Nurse - Diabetes Educator

NPI 1730607060

Registered Nurse

Amber Inman

Registered Nurse - Diabetes Educator

NPI 1932602265
Barbara Doolittle , RN

Registered Nurse

NPI 1942737325

Registered Nurse

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active May 30, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location May 30, 2013

Registered at 1717B S UTICA AVE, SUITE 205, TULSA, OK 741045333 (Tel: 9187442273)

📍
Updated Business Mailing Address May 30, 2013

Registered at 1717B S UTICA AVE, SUITE 205, TULSA, OK 741045333 (Tel: 9187442273)

👤
Provider Name / Credentials Updated May 30, 2013

Recorded as BEVERLY KELLEY, RD,LD,CDE

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 30, 2013

Dietitian, Registered (License #LD472 in OK)

🟢
Initial NPI Registration & Enumeration May 30, 2013

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: 1356788400
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 30, 2013
Last Update: May 30, 2013
Sole Proprietor: Yes

Mailing Address

1717b S Utica Ave, Suite 205

Tulsa, OK 741045333

Phone: 9187442273

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.