Provider Demographics
NPI:1417349291
Name:BENIGHT, RACHEL (MS, RD/LD)
Entity Type:Individual
Prefix:
First Name:RACHEL
Middle Name:
Last Name:BENIGHT
Suffix:
Gender:F
Credentials:MS, RD/LD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2838 S 73RD EAST AVE
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74129-6286
Mailing Address - Country:US
Mailing Address - Phone:918-638-9106
Mailing Address - Fax:
Practice Address - Street 1:2838 S 73RD EAST AVE
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74129-6286
Practice Address - Country:US
Practice Address - Phone:918-638-9106
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-03-03
Last Update Date:2023-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK2048133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered