Nourish Nutrition & Diabetes LLC
NPI 1275956062ActiveOrganization· Dietitian, Registered· Edmond, OK
Dietitian, Registered in Edmond, Oklahoma, registered in NPPES in January 2014. The authorized official on file is Lisa Johnston, RD, Owner And Dietitian. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1275956062 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 29, 2014 |
| Last updated in NPPES | Oct 7, 2025 |
| Certified by provider | Oct 7, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dietitian, Registered Primary | 133V00000X | 1559 | OK |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (OK) |
|---|
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