BRENTAN LAESCH


Address: 115 W 3rd St, Tulsa, OK 74103-3410
Phone: 9185853045

BRENTAN LAESCH (NPI# 1235534652) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 133V00000X Dietitian, Registered 1827 OK Dietary & Nutritional Service Providers

Office Location

Street Address 115 W 3RD ST
City TULSA
State OK
Zip Code 74103-3410

Providers in the same location

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
Find all providers in the same location

Providers in the same zip code

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
Find all providers in zip 74103

Taxonomy Information

Taxonomy Code 133V00000X
Grouping Dietary & Nutritional Service Providers
Classification Dietitian, Registered

Taxonomy Definition

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.

Providers in the same taxonomy and city

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
Find all providers in TULSA

Competitor

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City TULSA
Zip Code 74103

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Dataset Information

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.

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