SJC OUTPATIENT DIABETES CENTER
NPI 1528564929
Dietitian, Registered in Tulsa, OK

Q: What is St. John Physicians, Inc.'s NPI number?

The NPI number for St. John Physicians, Inc. is 1528564929. It was assigned to this organization in the NPPES registry on April 4, 2018. The provider is doing business as Sjc Outpatient Diabetes Center.

Q: What is St. John Physicians, Inc.'s specialty?

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

Active since April 04, 2018

1717B S UTICA AVE STE 205, TULSA, OK 74104(918) 744-2444(918) 744-2483 Get Directions Write a Review

NPPES record last updated: April 4, 2018. Verified against the NPPES registry weekly; last sync: November 08, 2026.

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About Sjc Outpatient Diabetes Center NPPES

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

SJC OUTPATIENT DIABETES CENTER (NPI 1528564929) is a healthcare organization registered as a dietitian, registered in Tulsa, Oklahoma and active in the NPI registry since April 2018. The organization lists James Bryan Fissel, Director Chief Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1528564929

Entity TypeOrganization

Primary Taxonomy133V00000X

Legal Business NameST. JOHN PHYSICIANS, INC.

Location Address1717B S UTICA AVE STE 205Tulsa, OK 74104-5332

Mailing Address1923 S Utica Ave # Dt1000Tulsa, OK 74104-6520 · (918) 744-2630 · Fax (918) 744-2946

Phone(918) 744-2444

Fax(918) 744-2483

Organization SubpartYes

Authorized OfficialJames Bryan FisselDirector Chief Financial Officer · (918) 748-7617

Enumeration DateApril 4, 2018

✔ NPI 1528564929 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers

Taxonomy Code133V00000X

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.

Also ListedRegistered NurseTaxonomy 163W00000X

Also ListedRegistered Nurse · Diabetes EducatorTaxonomy 163WD0400X

1717B S UTICA AVE STE 205, Tulsa, OK 74104

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Other Names 1

Doing Business AsSjc Outpatient Diabetes Center

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 5

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

MRS. CAITLYN RAYANN BRANNON RN, MSN

Registered Nurse (Diabetes Educator)