Provider Demographics
NPI:1932135738
Name:VENEGAS, JAMIE (RDN / LD)
Entity Type:Individual
Prefix:
First Name:JAMIE
Middle Name:
Last Name:VENEGAS
Suffix:
Gender:F
Credentials:RDN / LD
Other - Prefix:
Other - First Name:JAMIE
Other - Middle Name:
Other - Last Name:MARKGRAF
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3000 N GRAND BLVD
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73107-1818
Mailing Address - Country:US
Mailing Address - Phone:056-326-6884
Mailing Address - Fax:
Practice Address - Street 1:4000 W RENO AVE
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73107-6632
Practice Address - Country:US
Practice Address - Phone:405-632-6688
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-23
Last Update Date:2023-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered