AMBER DAWN FELTY (RDN/LD) – Registered Dietitian, NPI 1073297503

AMBER DAWN FELTY (RDN/LD) is a healthcare provider. based in Lawton, Oklahoma. specializing in REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL. They hold the professional credentials RDN/LD. They hold a License No. 1367 (OK). The NPI Number for AMBER DAWN FELTY (RDN/LD) is 1073297503

Main info

Female
33 Years Of Experience
Accepts Medicare Assignment
Name
AMBER DAWN FELTY (RDN/LD)
NPI
1073297503
Phone
(580) 215-9465
Address
4006 NE REALTREE DR
Enumeration Date
14 June 2023
Last Update Date
14 June 2023

Doctor Profile

Medical School Name
OKLAHOMA STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Secondary Phone
5803555242
Graduation Year
1993 (33 years ago)
PAC ID
3779945720
Group Practice PAC ID
2668373689
Professional Enrollment ID
I20230808003452
Address ID
OK735059695LA5404XBLVD400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

106 REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL in OK

Provider Addresses for AMBER DAWN FELTY (RDN/LD)

  • 4006 NE REALTREE DR

    LAWTON, OK 735075763

    Phone: (580) 215-9465

    Mailing address matches the actual address.

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.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-08-08

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230808003452IRegistered Dietitian Or Nutrition ProfessionalOKTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

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 73507)

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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: 2668373689View full group profile
NameSpecialtyState
Family PracticeOK
Internal MedicineOK
Family PracticeOK
Nurse PractitionerOK
Clinical Social WorkerOK
Registered Dietitian Or Nutrition ProfessionalOK
Nurse PractitionerOK
Nurse PractitionerOK
Nurse PractitionerOK
P S Y C H I A T R YOK

Reviews

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Frequently asked questions

Where can patients find AMBER DAWN FELTY (RDN/LD)'s NPI?
You can confirm AMBER DAWN FELTY (RDN/LD) with NPI 1073297503; it appears in the national provider directory.
Is AMBER DAWN FELTY (RDN/LD) currently active in the NPI registry?
CMS-published data lists AMBER DAWN FELTY (RDN/LD) as an active registrant.
What does AMBER DAWN FELTY (RDN/LD) treat or focus on?
Patients typically see AMBER DAWN FELTY (RDN/LD) under the specialty Registered Dietitian. Clinical services aligned with this taxonomy classification.
Where is AMBER DAWN FELTY (RDN/LD)'s primary listing?
We display Lawton, Oklahoma because that is what the record indicates for AMBER DAWN FELTY (RDN/LD).
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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