Provider Demographics
NPI:1396019980
Name:MELODY RANKIN, RD/LD, LLC
Entity Type:Organization
Organization Name:MELODY RANKIN, RD/LD, LLC
Other - Org Name:PERSONAL NUTRITION SOLUTIONS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER, PERSONAL NUTRITION SOLUTIONS
Authorized Official - Prefix:
Authorized Official - First Name:MELODY
Authorized Official - Middle Name:
Authorized Official - Last Name:RANKIN
Authorized Official - Suffix:
Authorized Official - Credentials:RD/LD
Authorized Official - Phone:405-414-4424
Mailing Address - Street 1:3101 RIDGE LAKE BLVD
Mailing Address - Street 2:
Mailing Address - City:NORMAN
Mailing Address - State:OK
Mailing Address - Zip Code:73071-4158
Mailing Address - Country:US
Mailing Address - Phone:405-414-4424
Mailing Address - Fax:405-321-5924
Practice Address - Street 1:3101 RIDGE LAKE BLVD
Practice Address - Street 2:
Practice Address - City:NORMAN
Practice Address - State:OK
Practice Address - Zip Code:73071-4158
Practice Address - Country:US
Practice Address - Phone:405-414-4424
Practice Address - Fax:405-321-5924
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-02-29
Last Update Date:2013-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK568133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty