BRENTAN LAESCH (NPI# 1235534652) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1235534652 |
Entity Type | Individual |
Full Name | BRENTAN LAESCH |
Credential | RD, LD. |
Practice Address |
115 W 3rd St Tulsa OK 74103-3410 |
Practice Telephone | 9185853045 |
Practice Fax Number | 9185853047 |
Mailing Telephone | 9185853045 |
Mailing Fax Number | 9185853047 |
Enumeration Date | 2014-10-28 |
Last Update Date | 2014-10-28 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 133V00000X | Dietitian, Registered | 1827 | OK | Dietary & Nutritional Service Providers |
Street Address |
115 W 3RD ST |
City | TULSA |
State | OK |
Zip Code | 74103-3410 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780121947 | Courtney Cheatham | Dietitian, Registered | 115 W 3rd St, Suite 800, Tulsa, OK 74103-3410 | 2017-01-26 |
1407398332 | Julie Bernstein | Dietitian, Registered | 115 W 3rd St, Suite 800, Tulsa, OK 74103-3410 | 2016-11-09 |
1346782422 | Christina Walker | Dietitian, Registered | 115 W 3rd St, Suite 800, Tulsa, OK 74103-3410 | 2016-11-07 |
1508255522 | Crystal Dawn Hays-hunter | Social Worker | 115 W 3rd St, Tulsa, OK 74103-3410 | 2015-01-14 |
1104221522 | Erin Blackwood | Dietitian, Registered | 115 W 3rd St, Suite 800, Tulsa, OK 74103-3410 | 2014-10-28 |
1972908382 | Sarah Cortese | Dietitian, Registered | 115 W 3rd St, Tulsa, OK 74103-3410 | 2014-10-28 |
1124372792 | Joel Patrick Davenport | Pharmacist | 115 W 3rd St, Suite 820, Tulsa, OK 74103-3410 | 2012-11-05 |
1144581752 | Tracy B. Scott | Dietitian, Registered | 115 W 3rd St, Suite 800, Tulsa, OK 74103-3410 | 2012-05-31 |
1003180167 | Deanna Gum | Dietitian, Registered | 115 W 3rd St, Suite 800, Tulsa, OK 74103-3410 | 2012-03-06 |
1851669246 | April Michelle Canaday | Dietitian, Registered | 115 W 3rd St, Suite 800, Tulsa, OK 74103-3410 | 2011-12-13 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497392476 | Polly Gretchen Robinson | Pharmacist | W 2nd St., Suite 100, Communitycare, Tulsa, OK 74103 | 2019-12-09 |
1639588387 | J.a.m.e.s. Incorporation | Community/Behavioral Health | 401 South Bostone Ave, 500-27, Tulsa, OK 74103 | 2014-08-07 |
1609205509 | Wynetta Littles | Behavioral Analyst | 401 S Boston Suite 400, Tulsa, OK 74103 | 2013-11-01 |
1013260512 | Courtney Lynn Warren | Nurse Practitioner | 300 N Denver Ave, Tulsa, OK 74103 | 2012-10-22 |
1992848618 | Carolyn Clarke Simpson | Counselor | 102 N. Denver, Tulsa, OK 74103 | 2007-02-14 |
1801826045 | Loretta A Farrell | Family Medicine | 100 West Fifth Street, Ll1020, Tulsa, OK 74103 | 2006-07-04 |
1306222104 | Cori Bryson | Case Manager/Care Coordinator | 102 N Denver, Tulsa, OK 74103 | 2015-08-04 |
1245651264 | Shannon Adcock | Counselor | 102 N Denver Ave, Tulsa, OK 74103 | 2013-12-17 |
1033469465 | Michael Stephen Lewis | Behavioral Analyst | 102 N Denver, Tulsa, OK 74103 | 2012-09-13 |
1619116431 | Patricia Eilzabeth Cox | Counselor | 102 N Denver Ave, Tulsa, OK 74103 | 2009-02-18 |
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Taxonomy Code | 133V00000X |
Grouping | Dietary & Nutritional Service Providers |
Classification | Dietitian, Registered |
A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration. |
Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619528189 | Haley Billings | Dietitian, Registered | 1816 S Carson Ave Apt 223, Tulsa, OK 74119-5030 | 2019-09-25 |
1811498058 | Sydney Elyse Cavero-egusquiza | Dietitian, Registered | 4815 S Harvard Ave Ste 253, Tulsa, OK 74135-3066 | 2018-02-22 |
1407363773 | Aubrey Kayee Golbek | Dietitian, Registered | 1712 E 14th St, Tulsa, OK 74104-4434 | 2018-01-08 |
1528573862 | Tawnie Goodwin | Dietitian, Registered | 1717 S Utica Ave Ste 205, Tulsa, OK 74104-5345 | 2017-12-08 |
1033636915 | Mark Brizendine | Dietitian, Registered | Hillcrest Medical Center 1120 S. Utica Ave, Tulsa, OK 74104 | 2017-08-23 |
1699298927 | Paris Delani Doty | Dietitian, Registered | 1819 E 19th St Ste 301, Tulsa, OK 74104-5407 | 2017-07-19 |
1528506839 | Ronda Bender | Dietitian, Registered | 6839 E 105th St, Tulsa, OK 74133-6758 | 2017-02-07 |
1467813428 | Amy Joyce Burden | Dietitian, Registered | 3530 E 21st Pl, Tulsa, OK 74114-1969 | 2016-03-17 |
1861867434 | Emily J Lawrance | Dietitian, Registered | 2000 S Wheeling Ave Ste 920, Tulsa, OK 74104 | 2015-12-08 |
1336539709 | Miranda Brown | Dietitian, Registered | 2517 S Harvard Pl # 17d, Tulsa, OK 74114-4638 | 2015-01-23 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.