IndividualActive
Joleen Wilson, RD/LD
NPI 1528293586 · Registered Dietitian · Broken Arrow, OK
Provider details
- NPI number
- 1528293586
- Entity type
- Individual
- Primary specialty
- Registered DietitianDietary & Nutritional Service Providers
- Credential
- RD/LD
- Sex
- Female
- Sole proprietor
- No
- License
- 1842 (OK)
Specialties & taxonomies
Dietary & Nutritional Service Providers
Profile Score
Detailed profile(85/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 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
6336 S 116th East Ave
Broken Arrow, OK 74012-1251
Phone: (918) 280-8456
Fax: (855) 438-6802
Street-level locationGet directions
Mailing address
1701 S Main St
Broken Arrow, OK 74013-9701
Registry dates
- Enumerated
- 2009-05-20
- Last updated
- 2023-12-31
- Certified
- 2023-12-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.