Holly Elizabeth McCollom, RDN
Dietitian, Registered in Tulsa, OK. Individual provider (NPI-1).
NPI number1215416680
StatusActive
Last updated in NPPESAug 7, 2018
Details
- NPI
- 1215416680
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Holly Elizabeth McCollom
- Credential
- RDN
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 7, 2018
- Last updated
- Aug 7, 2018
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 133V00000X | Dietitian, Registered | 2340 | OK | Yes |
Practice location
4444 E 41st St1st Floor, Ste B
Tulsa, OK 74135-2527
Phone 918-619-4800 · Fax 918-619-4801
Mailing address
4444 E 41st St1st Floor, Ste B
Tulsa, OK 74135-2527
Phone 918-619-4800 · Fax 918-619-4801
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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