MATTHEW M LONG RD
NPI 1194390021
Dietitian, Registered in Tinker Afb, OK

Active since May 24, 2021
7050 AIR DEPOT BLVD BLDG 1094, TINKER AFB, OK 73145(405) 736-2169 Get Directions Write a Review

NPPES record last updated: October 8, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Oct 8, 2024, May 24, 2021 (2 updates tracked since 2021).

About Matthew M Long Rd NPPES

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

MATTHEW M LONG RD (NPI 1194390021) is an individual dietitian, registered in Tinker Afb, Oklahoma, licensed in Oklahoma (2548) and active in the NPI registry since May 2021.

NPPES Registry Identity

NPI1194390021
Entity TypeIndividualMale
Primary Taxonomy133V00000X
Provider Legal NameMATTHEW M LONGCredential: RD
Location Address7050 AIR DEPOT BLVD BLDG 1094Tinker Afb, OK 73145-8716
Mailing Address2301 Nw 27th StOklahoma City, OK 73107-2517 · (918) 845-7968
Sole ProprietorNo
Enumeration DateMay 24, 2021
Last NPPES UpdateOctober 8, 20242 updates tracked since enumeration
NPPES CertifiedOctober 8, 2024
NPI 1194390021 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 · 2548
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.

7050 AIR DEPOT BLVD BLDG 1094, Tinker Afb, OK 73145

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.

Social Worker (Clinical)
7050 AIR DEPOT BLVD BLDG 1094
TINKER AFB, OK 73145
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
7050 AIR DEPOT BLVD BLDG 1094
TINKER AFB, OK 73145
Family Medicine
7050 AIR DEPOT BLVD BLDG 1094
TINKER AFB, OK 73145
Military Health Care Provider
7050 AIR DEPOT BLVD BLDG 1094
TINKER AFB, OK 73145
Optometrist
7050 AIR DEPOT BLVD BLDG 1094
TINKER AFB, OK 73145
Dentist
7050 AIR DEPOT BLVD BLDG 1094
TINKER AFB, OK 73145
Family Medicine
7050 AIR DEPOT BLVD BLDG 1094
TINKER AFB, OK 73145
Military Health Care Provider
7050 AIR DEPOT BLVD BLDG 1094
TINKER AFB, OK 73145

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1194390021, enumerated as an "individual" on May 24, 2021.

The provider is located at 7050 AIR DEPOT BLVD BLDG 1094 TINKER AFB, OK 73145 and the phone number is (405) 736-2169.

Dietitian, Registered with taxonomy code 133V00000X.