| Ms Catherine Waller, RD/LD, CDE | |
|
4913 W Reno Ave, Oklahoma City, OK 73127-6339 | |
| (405) 948-4900 | |
| Not Available |
| Full Name | Ms Catherine Waller |
|---|---|
| Gender | Female |
| Speciality | Dietitian, Registered |
| Location | 4913 W Reno Ave, Oklahoma City, Oklahoma |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265537286 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | 1115 (Oklahoma) | Primary |
| Provider Name | Central Oklahoma American Indian Health Council, Inc. |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1407969728 PECOS PAC ID: 3476617374 Enrollment ID: O20090901000440 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Catherine Waller, RD/LD, CDE Po Box 581, Spencer, OK 73084-0581 Ph: (405) 824-6558 | Ms Catherine Waller, RD/LD, CDE 4913 W Reno Ave, Oklahoma City, OK 73127-6339 Ph: (405) 948-4900 |
Rebekah Lea Maxwell, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 921 Ne 13th St, Oklahoma City, OK 73104 Phone: 405-456-1000 Fax: 405-456-1695 | |
Mrs. Lisha M Smathers, RD, LD, CNSC Dietitian Medicare: Medicare Enrolled Practice Location: 9353 Sw 21st St, Oklahoma City, OK 73128 Phone: 405-627-5650 | |
Kelsey Duncan, MS, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3433 Nw 56th St, #970, Oklahoma City, OK 73112 Phone: 405-951-2131 Fax: 405-951-2135 | |
Michelle Tillinger, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 4300 W Memorial Rd, Oklahoma City, OK 73120 Phone: 405-853-0128 | |
Olivia B Riggs, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 800 N Oklahoma Ave Apt 1317, Oklahoma City, OK 73104 Phone: 918-949-8339 | |
Holly Michelle Mistler, L.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 4300 W Memorial Rd, Oklahoma City, OK 73120 Phone: 405-752-3758 Fax: 405-936-5288 | |
Mr. Anthony Ray Perry, R.D., L.D., C.D.E. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 921 Ne 13th St, Oklahoma City, OK 73104 Phone: 405-270-0501 |