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Active NPI 1962146696 Individual Practitioner Female Practitioner

Alexa Nicole Wallace , MS, RD, LD

Dietitian, Registered • Tulsa, OK

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Alexa Wallace, MS, RD, LD is a registered healthcare professional specializing in Dietitian, Registered in Tulsa, OK. Practice services are available at 6160 S YALE AVE under active NPI credentials.

Alexa Wallace is affiliated with Warren Clinic Inc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include medical nutrition therapy, assessment and intervention, each, medical nutrition therapy performed in a group setting, each. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

6160 S Yale Ave

Tulsa, OK 741361900

Telephone 9184973140
Fax 9184993295
Associated Practice Facility / Clinic
🏢 Springer Clinic Inc Facility NPI 1316949860

Medicare Profile & Education

Medical School

Other

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

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

✓ Offers Virtual Consultations

Medicare Pricing Discount
61.9% 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 (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
97802 Medical nutrition therapy, assessment and intervention, each 15 minutes
260 66 $72.00 $28.44
97804 Medical nutrition therapy performed in a group setting, each 30 minutes
82 21 $37.00 $13.03

Medical Specialties & State Licenses

CMS Verified: 2022-05-10
Dietitian, Registered Primary Specialty

NUCC Taxonomy Code: 133V00000X

State License OK 2528

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.

Hospital & Practice Group Affiliations

Warren Clinic Inc

6600 S Yale Ave, Tulsa, OK 741363331

Phone: 9184886000

Practice Associates & Co-Workers

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

11 Associated Practitioners
Dr. Sara Newell , MD

Internal Medicine

NPI 1023017878

Doctor of Medicine (M.D.)

Dr. Miguel Jara Palacios , MD

Internal Medicine - Endocrinology, Diabetes & Metabolism

NPI 1134614464

Doctor of Medicine (M.D.)

Dr. Andrew Khouw , MD

Internal Medicine - Endocrinology, Diabetes & Metabolism

NPI 1366429201

Doctor of Medicine (M.D.)

Dr. Manuel Calvin , MD

Internal Medicine - Rheumatology

NPI 1396744678

Doctor of Medicine (M.D.)

Dr. Sailatha Thomas , MD

Internal Medicine - Endocrinology, Diabetes & Metabolism

NPI 1447285978

Doctor of Medicine (M.D.)

Dr. Anu Prabhala , MD

Internal Medicine - Endocrinology, Diabetes & Metabolism

NPI 1518966548

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

7 Historical Events
📍
Updated Business Mailing Address May 10, 2022

Registered at 6600 S YALE AVE STE 1200, TULSA, OK 741363333 (Tel: 9184886653)

NPI Profile Active April 27, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location April 27, 2022

Registered at 6160 S YALE AVE, TULSA, OK 741361900 (Tel: 9184927200)

📍
Updated Business Mailing Address April 27, 2022

Registered at 2800 N 23RD ST APT 1326, BROKEN ARROW, OK 740142041 (Tel: 9183971981)

👤
Provider Name / Credentials Updated April 27, 2022

Recorded as ALEXA WALLACE, MS, RD, LD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 27, 2022

Dietitian, Registered (License #2528 in OK)

🟢
Initial NPI Registration & Enumeration April 27, 2022

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: 1962146696
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 27, 2022
Last Update: May 10, 2022
Sole Proprietor: No

Mailing Address

6600 S Yale Ave Ste 1200

Tulsa, OK 741363333

Phone: 9184886653

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.