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Muscogee Creek Nation

NPI 1720515562ActiveOrganization· Dietitian, Registered· Sapulpa, OK

Dietitian, Registered in Sapulpa, Oklahoma, registered in NPPES in May 2017. The authorized official on file is Breanna Rene Dale, RD, LD, Dietitian.

Overview

NPI1720515562
StatusActive
Entity typeOrganization
NPI issuedMay 11, 2017
Last updated in NPPESMay 11, 2017

Specialties and licenses

TaxonomyCodeLicenseState
Dietitian, Registered Primary133V00000X2157OK

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other Dietitian, Registered providers in Sapulpa

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