MRS. BREANNA R DALE (RD,LD) – Registered Dietitian, NPI 1033606330

MRS. BREANNA R DALE (RD,LD) is a healthcare provider. based in Tulsa, Oklahoma. specializing in Registered Dietitian. They hold the professional credentials RD,LD. They hold a License No. 2157 (OK). The NPI Number for MRS. BREANNA R DALE (RD,LD) is 1033606330

Main info

Female
Sole Proprietor
11 Years Of Experience
Accepts Medicare Assignment
Name
MRS. BREANNA R DALE (RD,LD)
NPI
1033606330
Phone
(918) 864-3408
Address
5305 S 36TH WEST AVE
Enumeration Date
23 April 2018
Last Update Date
23 April 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9182249310
Graduation Year
2015 (11 years ago)
PAC ID
0547523755
Group Practice PAC ID
5698786226
Professional Enrollment ID
I20180420000698
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:8State licenses:1Digital endpointsOther names

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Provider Addresses for MRS. BREANNA R DALE (RD,LD)

  • 5305, South 36th West Avenue, South Haven, Tulsa, Tulsa County, Oklahoma, 74107, United States

    TULSA, OK 741079538

    Phone: (918) 864-3408

    Type: Mailing

  • Sapulpa Indian Health Center, 1125, East Cleveland Avenue, Sapulpa, Creek County, Oklahoma, 74066, United States

    SAPULPA, OK 740664641

    Phone: (918) 224-9310

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 74107)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5698786226View full group profile
NameSpecialtyState
-OK
-OK
Emergency MedicineSC
-OK
Family PracticeOK
-OK
-OK
Internal Medicine, Hospice/Palliative CareOK
Emergency MedicineOK
Diagnostic RadiologyOK

Reviews

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Frequently asked questions

What is MRS. BREANNA R DALE (RD,LD)'s NPI number?
MRS. BREANNA R DALE (RD,LD)'s NPI is 1033606330 — the number used across U.S. healthcare to identify this provider.
Is MRS. BREANNA R DALE (RD,LD) shown as active in public data?
Registry records indicate MRS. BREANNA R DALE (RD,LD) maintains an active NPI.
What area of care is associated with MRS. BREANNA R DALE (RD,LD)?
MRS. BREANNA R DALE (RD,LD)'s record emphasizes Registered Dietitian. Clinical services aligned with this taxonomy classification.
What locale is associated with MRS. BREANNA R DALE (RD,LD)?
Directory geography for MRS. BREANNA R DALE (RD,LD) centers on Tulsa, Oklahoma.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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