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AMANDA KAYLENE HUMPHREYS RD, LD
NPI 1013751395
Dietitian, Registered in Talihina, OK

Active since June 21, 2024
52984 423RD AVE, TALIHINA, OK 74571(580) 272-7689 Get Directions Write a Review

NPPES record last updated: November 19, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 19, 2024, Jun 21, 2024 (2 updates tracked since 2024).

About Amanda Kaylene Humphreys Rd, Ld NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AMANDA KAYLENE HUMPHREYS RD, LD (NPI 1013751395) is an individual dietitian, registered in Talihina, Oklahoma, licensed in Oklahoma (2979) and active in the NPI registry since June 2024. She maintains a secondary practice location in Tulsa.

NPPES Registry Identity

NPI1013751395
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameAMANDA KAYLENE HUMPHREYSCredential: RD, LD
Location Address52984 423RD AVETalihina, OK 74571-2053
Mailing Address52984 423rd AveTalihina, OK 74571-2053 · (580) 272-7689
Phone(580) 272-7689
Sole ProprietorNo
Enumeration DateJune 21, 2024
Last NPPES UpdateNovember 19, 20242 updates tracked since enumeration
NPPES CertifiedNovember 19, 2024
✔ NPI 1013751395 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
License✔ Licensed in OK · 2979
Definition
A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.
52984 423RD AVE, Talihina, OK 74571
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Secondary Practice Location 1

Location 1115 W 3rd St Ste 800Tulsa, OK 74103-3411 · Phone (918) 585-3045

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Amanda Kaylene Humphreys Rd, Ld is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Amanda Humphreys reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Keith & Associates, Inc
111 mi
Parenteral & Enteral Nutrition
115 W 3RD ST STE 800
Tulsa, OK 74103
  • Reassigned Medicare billing, Oklahoma enrollment
  • 4 clinicians in this Medicare group
NPI 1609061332 (918) 585-3045

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RENEW U NUTRITION LLC
Dietitian, Registered
52984 423RD AVE
TALIHINA, OK 74571
Le Flore County (580) 272-7689

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Amanda Humphreys's NPI number?

The NPI number for Amanda Humphreys is 1013751395. It was assigned to this individual provider in the NPPES registry on June 21, 2024.

Where is Amanda Humphreys located?

Amanda Humphreys practices at 52984 423rd Ave, Talihina, OK 74571. The listed phone number is (580) 272-7689.

What is Amanda Humphreys's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Is Amanda Humphreys enrolled in Medicare?

Yes. Amanda Humphreys is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Amanda Humphreys's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Amanda Humphreys reassigns Medicare benefits to Keith & Associates, Inc (Tulsa, OK). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Amanda Humphreys's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Amanda Humphreys accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 3 other insurers list Amanda Humphreys as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Amanda Humphreys was last updated on November 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.