St. John Physicians, Inc.
NPI 1528564929ActiveOrganization· Dietitian, Registered· Tulsa, OK
Dietitian, Registered in Tulsa, Oklahoma, registered in NPPES in April 2018, part of St. John Physicians, Inc. The authorized official on file is James Bryan Fissel, Director Chief Financial Officer.
Overview
| NPI | 1528564929 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | St. John Physicians, Inc. |
| NPI issued | Apr 4, 2018 |
| Last updated in NPPES | Apr 4, 2018 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dietitian, Registered Primary | 133V00000X | — | — |
| Registered Nurse | 163W00000X | — | — |
| Registered Nurse, Diabetes Educator | 163WD0400X | — | — |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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All 204 registered dietitians in Tulsa · All registered dietitians in Oklahoma