IndividualActive
Jessica Shaw, MS, RD, LD
NPI 1174805147 · Metabolic Nutrition Registered Dietitian · Oklahoma City, OK
Provider details
- NPI number
- 1174805147
- Entity type
- Individual
- Primary specialty
- Metabolic Nutrition Registered DietitianDietary & Nutritional Service Providers
- Credential
- MS, RD, LD
- Sex
- Female
- Sole proprietor
- No
- License
- 1644 (OK)
Practice location
1000 N Lincoln Ave
Sutie 2900
Oklahoma City, OK 73104
Phone: (405) 271-3652
Fax: (405) 271-7522
Mailing address
5701 N Portland Ave
Oklahoma City, OK 73112-1670
Registry dates
- Enumerated
- 2011-09-15
- Last updated
- 2016-04-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.