ELIZABETH JO HAVARD RDN, LD
NPI 1467199919
Dietitian, Registered in Tahlequah, OK

Active since May 17, 2022
19600 E ROSS ST, TAHLEQUAH, OK 74464(539) 234-1000 Get Directions Write a Review

NPPES record last updated: February 5, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 5, 2024, May 17, 2022 (2 updates tracked since 2022).

About Elizabeth Jo Havard Rdn, Ld NPPES

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

ELIZABETH JO HAVARD RDN, LD (NPI 1467199919) is an individual dietitian, registered in Tahlequah, Oklahoma, licensed in Oklahoma (2626) and active in the NPI registry since May 2022.

NPPES Registry Identity

NPI1467199919
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameELIZABETH JO HAVARDCredential: RDN, LD
Location Address19600 E ROSS STTahlequah, OK 74464-0545
Mailing Address19600 E Ross StTahlequah, OK 74464-0545 · (539) 234-1000
Sole ProprietorNo
Enumeration DateMay 17, 2022
Last NPPES UpdateFebruary 5, 20242 updates tracked since enumeration
NPPES CertifiedFebruary 5, 2024
✔ NPI 1467199919 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 · 2626
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.
19600 E ROSS ST, Tahlequah, OK 74464

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Elizabeth Jo Havard Rdn, Ld is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

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

General Acute Care Hospital
19780 E. ROSS STREET
Tahlequah, OK 74464
  • Reassigned Medicare billing, Texas enrollment
  • 1,047 clinicians in this Medicare group

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.

Physician Assistant
19600 E ROSS ST
TAHLEQUAH, OK 74464
Student in an Organized Health Care Education/Training Program
19600 E ROSS ST
TAHLEQUAH, OK 74464
Podiatrist
19600 E ROSS ST
TAHLEQUAH, OK 74464
Occupational Therapy Assistant
19600 E ROSS ST
TAHLEQUAH, OK 74464
Dentist (General Practice)
19600 E ROSS ST
TAHLEQUAH, OK 74464
Nurse Practitioner
19600 E ROSS ST
TAHLEQUAH, OK 74464
Pharmacist
19600 E ROSS ST
TAHLEQUAH, OK 74464
Peer Specialist
19600 E ROSS ST
TAHLEQUAH, OK 74464

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 Elizabeth Havard's NPI number?

The NPI number for Elizabeth Havard is 1467199919. It was assigned to this individual provider in the NPPES registry on May 17, 2022.

Where is Elizabeth Havard located?

Elizabeth Havard practices at 19600 E Ross St, Tahlequah, OK 74464. The listed phone number is (539) 234-1000.

What is Elizabeth Havard's specialty?

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

Is Elizabeth Havard enrolled in Medicare?

Yes. Elizabeth Havard is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Elizabeth Havard's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Elizabeth Havard reassigns Medicare benefits to Cherokee Nation (Tahlequah, 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 Elizabeth Havard's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Elizabeth Havard was last updated on February 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.