NOURISH NUTRITION & DIABETES LLC
NPI 1275956062
Dietitian, Registered in Edmond, OK

Q: What is Nourish Nutrition & Diabetes LLC's NPI number?

The NPI number for Nourish Nutrition & Diabetes LLC is 1275956062. It was assigned to this organization in the NPPES registry on January 29, 2014.

Q: What is Nourish Nutrition & Diabetes LLC's specialty?

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

Active since January 29, 2014

1601 S STATE ST STE 500, EDMOND, OK 73013(405) 254-6453(405) 562-8735 Get Directions Write a Review

NPPES record last updated: October 7, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 7, 2025, Mar 23, 2017 (2 updates tracked since 2017).

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About Nourish Nutrition & Diabetes Llc NPPES

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

NOURISH NUTRITION & DIABETES LLC (NPI 1275956062) is a healthcare organization registered as a dietitian, registered in Edmond, Oklahoma and active in the NPI registry since January 2014. The organization lists Lisa Johnston, Owner And Dietitian, as its authorized official.

NPPES Registry Identity

NPI1275956062

Entity TypeOrganization

Primary Taxonomy133V00000X

Legal Business NameNOURISH NUTRITION & DIABETES LLC

Location Address1601 S STATE ST STE 500Edmond, OK 73013-3698

Mailing Address1601 S State St Ste 500Edmond, OK 73013-3698 · (405) 254-6453 · Fax (405) 562-8735

Phone(405) 254-6453

Fax(405) 562-8735

Organization SubpartNo

Authorized OfficialLisa JohnstonOwner And Dietitian · (405) 509-1294

Enumeration DateJanuary 29, 2014

Last NPPES UpdateOctober 7, 20252 updates tracked since enumeration

NPPES CertifiedOctober 7, 2025

✔ NPI 1275956062 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 · 1559

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.

1601 S STATE ST STE 500, Edmond, OK 73013

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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 Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nourish Nutrition & Diabetes Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 2 clinicians reassign Medicare billing to Nourish Nutrition & Diabetes LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Lisa Johnston, R.D./L.D.

Registered Dietitian or Nutrition Professional

NPI 1316191356

1601 S STATE ST STE 500
Edmond, OK 73013

(405) 509-1294

✔ Accepts MedicareSame address

Sophia Sapper, RD, LD

Registered Dietitian or Nutrition Professional

NPI 1902632334

1601 S STATE ST STE 500
Edmond, OK 73013

(405) 254-6453

✔ Accepts MedicareSame address

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

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 Nourish Nutrition & Diabetes LLC's NPI number?

The NPI number for Nourish Nutrition & Diabetes LLC is 1275956062. It was assigned to this organization in the NPPES registry on January 29, 2014.

Where is Nourish Nutrition & Diabetes LLC located?

Nourish Nutrition & Diabetes LLC is located at 1601 S State St Ste 500, Edmond, OK 73013. The listed phone number is (405) 254-6453.

What is Nourish Nutrition & Diabetes LLC's specialty?

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

Is Nourish Nutrition & Diabetes LLC enrolled in Medicare?

Yes. Nourish Nutrition & Diabetes LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Nourish Nutrition & Diabetes LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Registered Dietitian or Nutrition Professional, reassign their Medicare billing to Nourish Nutrition & Diabetes LLC. A 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 the clinician's services. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Nourish Nutrition & Diabetes LLC accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and Ambetter of Oklahoma list Nourish Nutrition & Diabetes LLC 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 Nourish Nutrition & Diabetes LLC was last updated on October 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.