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MS. BANDY JO RACKLEY RD, LD
NPI 1033188743
Dietitian, Registered - Nutrition, Renal in Lawton, OK

Active since March 15, 2006
5110 W GORE BLVD, LAWTON, OK 73505(580) 713-3123 Get Directions Write a Review

NPPES record last updated: July 22, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ms. Bandy Jo Rackley Rd, Ld NPPES

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

MS. BANDY JO RACKLEY RD, LD (NPI 1033188743) is an individual nutrition, renal provider in Lawton, Oklahoma and active in the NPI registry since March 2006.

NPPES Registry Identity

NPI1033188743
Entity TypeIndividualFemale
Primary Taxonomy133VN1005X
Provider Legal NameMS. BANDY JO RACKLEYCredential: RD, LD
Location Address5110 W GORE BLVDLawton, OK 73505-5909
Mailing AddressPo Box 485Medicine Park, OK 73557-0485
Phone(580) 713-3123
Sole ProprietorNo
Enumeration DateMarch 15, 2006
Last NPPES UpdateJuly 22, 2022
NPPES CertifiedJune 21, 2022
✔ NPI 1033188743 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, Registered · Nutrition, RenalDietary & Nutritional Service Providers
Taxonomy Code133VN1005X
Definition
An individual who is a Board Certified Specialist in Renal Nutrition and works directly with adult and/or pediatric patients with acute kidney injury, chronic kidney disease (CKD) stages 1-5, or receiving renal replacement therapies (dialysis/transplant) in a variety of settings, OR works indirectly in management, education, or research practice linked specifically to renal nutrition. The specialist in renal/nephrology nutrition is responsible for nutrition assessment, diagnosis, intervention, monitoring, and evaluation.
5110 W GORE BLVD, Lawton, OK 73505
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Other Providers at the Same Location NPPES 2

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

LAWTON DIALYSIS, INC.
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
5110 W GORE BLVD, SUITE 1
LAWTON, OK 73505
Comanche County (580) 248-3733
LAWTON DIALYSIS CENTER LLC
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
5110 W GORE BLVD
LAWTON, OK 73505
Comanche County (580) 248-3733

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 Bandy Rackley's NPI number?

The NPI number for Bandy Rackley is 1033188743. It was assigned to this individual provider in the NPPES registry on March 15, 2006.

Where is Bandy Rackley located?

Bandy Rackley practices at 5110 W Gore Blvd, Lawton, OK 73505. The listed phone number is (580) 713-3123.

What is Bandy Rackley's specialty?

The primary specialty registered for this NPI is Dietitian, Registered, specializing in Nutrition, Renal, with taxonomy code 133VN1005X.

When was this NPI record last updated?

The NPPES record for Bandy Rackley was last updated on July 22, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.