=====================================================
General NPI Number Information
=====================================================
NPI Number | 1801555495
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | KARA E JONES RDN,LD
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 12/11/2021
-----------------------------------------------------
Last Update Date | 06/25/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 10105 N BRIDGEWATER CIR
-----------------------------------------------------
City | OWASSO
-----------------------------------------------------
State | OK
-----------------------------------------------------
Zip | 74055-7727
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 918-272-4207
-----------------------------------------------------
Fax | 866-296-1005
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | PO BOX 707001
-----------------------------------------------------
City | TULSA
-----------------------------------------------------
State | OK
-----------------------------------------------------
Zip | 74170-7001
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 918-499-4855
-----------------------------------------------------
Fax | 918-488-6098
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 133V00000X
-----------------------------------------------------
Taxonomy Name | Registered Dietitian
-----------------------------------------------------
License Number | 2571
-----------------------------------------------------
License Number State | OK
-----------------------------------------------------