Nourish Nutrition & Diabetes LLC
NPI 1275956062 · Registered Dietitian · Edmond, OK
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Nourish Nutrition & Diabetes LLC is a Registered Dietitian organization in Edmond, OK (NPI 1275956062).
Provider details
- NPI number
- 1275956062
- Entity type
- Organization
- Primary specialty
- Registered DietitianDietary & Nutritional Service Providers
- Organization subpart
- No
- Authorized official
- Lisa Johnston, Owner and Dietitian(405) 509-1294
- License
- 1559 (OK)
Specialties & taxonomies
Dietary & Nutritional Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2014-01-29
- Last updated
- 2025-10-07
- Certified
- 2025-10-07
Frequently asked questions
- What is Nourish Nutrition & Diabetes LLC's NPI number?
- Nourish Nutrition & Diabetes LLC's National Provider Identifier (NPI) is 1275956062, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Nourish Nutrition & Diabetes LLC?
- Nourish Nutrition & Diabetes LLC is classified in the NPPES registry as Registered Dietitian (Dietary & Nutritional Service Providers).
- Where is Nourish Nutrition & Diabetes LLC located?
- Nourish Nutrition & Diabetes LLC's practice location on file with NPPES is 1601 S State St Ste 500, Edmond, OK 73013-3698.
- What is Nourish Nutrition & Diabetes LLC's phone number?
- The practice phone number listed in the NPPES registry for Nourish Nutrition & Diabetes LLC is (405) 254-6453.
- Does Nourish Nutrition & Diabetes LLC accept Medicare?
- Nourish Nutrition & Diabetes LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Nourish Nutrition & Diabetes LLC?
- The authorized official listed on Nourish Nutrition & Diabetes LLC's NPPES record is Lisa Johnston, Owner and Dietitian. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Nourish Nutrition & Diabetes LLC's NPI active?
- Yes — Nourish Nutrition & Diabetes LLC's NPI (1275956062) is active in the NPPES registry as of the last update on 2025-10-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.