1. Home
  2. Directory
  3. Oklahoma
  4. Sapulpa
  5. Dietitian Registered
  6. NPI Profile

MRS. BREANNA R DALE RD,LD
NPI 1033606330
Dietitian, Registered in Sapulpa, OK

Active since April 23, 2018
1125 E CLEVELAND AVE, SAPULPA, OK 74066(918) 224-9310 Get Directions Write a Review

NPPES record last updated: April 23, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mrs. Breanna R Dale Rd,ld NPPES

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

MRS. BREANNA R DALE RD,LD (NPI 1033606330) is an individual dietitian, registered in Sapulpa, Oklahoma, licensed in Oklahoma (2157) and active in the NPI registry since April 2018.

NPPES Registry Identity

NPI1033606330
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameMRS. BREANNA R DALECredential: RD,LD
Location Address1125 E CLEVELAND AVESapulpa, OK 74066-4641
Mailing Address5305 S 36th West AveTulsa, OK 74107-9538 · (918) 864-3408
Phone(918) 224-9310
Sole ProprietorYes
Enumeration DateApril 23, 2018
✔ NPI 1033606330 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 · 2157
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.
1125 E CLEVELAND AVE, Sapulpa, OK 74066
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Oklahoma.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Breanna R Dale Rd,ld is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

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

Creek Nation Hospital & Clinics
41 mi
Family Medicine
1800 E COPLIN ST
Okemah, OK 74859
  • Reassigned Medicare billing, Texas enrollment
  • 655 clinicians in this Medicare group
NPI 1467053173 (918) 623-1424

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 20

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

DR. BRETT E STALLINGS D.D.S.
Dentist (General Practice)
1125 E CLEVELAND AVE
SAPULPA, OK 74066
Creek County (918) 224-9310
BARBARA G CLYMA
Behavior Analyst
1125 E CLEVELAND AVE
SAPULPA, OK 74066
Creek County (918) 224-9310
MRS. MELISSA DIANE SCHEEF RD
Dietitian, Registered
1125 E CLEVELAND AVE
SAPULPA, OK 74066
Creek County (918) 224-9310
CREEK NATION HOSPITAL & CLINICS
Dietitian, Registered
1125 E CLEVELAND AVE
SAPULPA, OK 74066
Creek County (918) 224-9310
SOLEDAD WANG D.O.
Family Medicine
1125 E CLEVELAND AVE
SAPULPA, OK 74066
Creek County (918) 224-9310
APRIL RONQUILLO RN
Registered Nurse
1125 E CLEVELAND AVE
SAPULPA, OK 74066
Creek County (918) 591-5783
CREEK NATION HOSPITAL & CLINICS
Clinic/Center
1125 E CLEVELAND AVE
SAPULPA, OK 74066
Creek County (918) 224-9310
DR. KATHRYN S ZACKERY D.O.
Family Medicine
1125 E CLEVELAND AVE
SAPULPA, OK 74066
Creek County (918) 224-9310

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 Breanna Dale's NPI number?

The NPI number for Breanna Dale is 1033606330. It was assigned to this individual provider in the NPPES registry on April 23, 2018.

Where is Breanna Dale located?

Breanna Dale practices at 1125 E Cleveland Ave, Sapulpa, OK 74066. The listed phone number is (918) 224-9310.

What is Breanna Dale's specialty?

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

Is Breanna Dale enrolled in Medicare?

Yes. Breanna Dale is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Breanna Dale's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Breanna Dale reassigns Medicare benefits to Creek Nation Hospital & Clinics (Okemah, 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 Breanna Dale's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Breanna Dale accept?

Health plans from Blue Cross and Blue Shield of Oklahoma list Breanna Dale 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 Breanna Dale was last updated on April 23, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.