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Active NPI 1518987486 Individual Practitioner Female Practitioner

Marlo Wagner , RD, CDE

Dietitian, Registered • Tulsa, OK

Professional Overview & Biography Verified Profile Summary

Marlo Wagner, RD, CDE is a registered healthcare professional specializing in Dietitian, Registered in Tulsa, OK. Practice services are available at 9322 E 41ST ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

9322 E 41st St

Tulsa, OK 741453721

Telephone 9187647209

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
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dietitian, Registered Primary Specialty

NUCC Taxonomy Code: 133V00000X

State License OK 809909

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

31 Associated Practitioners
Eldon Haggard , PA

Physician Assistant

NPI 1013014125

Physician Assistant

Katie Brooks

Pharmacist - Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

NPI 1023683547
Dr. Roger Prock , MD

Internal Medicine

NPI 1063432268

Doctor of Medicine (M.D.)

Dr. Vara Udupa , MD

Internal Medicine

NPI 1073539623

Doctor of Medicine (M.D.)

Pearl Freese , LCSW

Social Worker - Clinical

NPI 1073803532

Licensed Clinical Social Worker

Dr. Wallace Love , MD

Internal Medicine

NPI 1144327701

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 9322 E 41ST ST, TULSA, OK 741453721 (Tel: 9187647209)

📍
Updated Business Mailing Address July 08, 2007

Registered at 5442 E 109TH PL, TULSA, OK 741377247 (Tel: 9182963910)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as MARLO WAGNER, RD,CDE

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dietitian, Registered (License #809909 in OK)

🟢
Initial NPI Registration & Enumeration July 20, 2006

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: 1518987486
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 20, 2006
Last Update: July 08, 2007
Sole Proprietor: No

Mailing Address

5442 E 109th Pl

Tulsa, OK 741377247

Phone: 9182963910

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.