MS. TARA DIANE CONWAY (MS, RDLD) – Registered Dietitian, NPI 1760693378

MS. TARA DIANE CONWAY (MS, RDLD) is a healthcare provider. based in Chickasha, Oklahoma. specializing in Registered Dietitian. They hold the professional credentials MS, RDLD. They hold a License No. 1187 (OK). The NPI Number for MS. TARA DIANE CONWAY (MS, RDLD) is 1760693378

Main info

Female
Sole Proprietor
Name
MS. TARA DIANE CONWAY (MS, RDLD)
NPI
1760693378
Phone
(405) 224-8111
Address
2222 W IOWA AVE
Enumeration Date
24 May 2007
Last Update Date
5 February 2016
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for MS. TARA DIANE CONWAY (MS, RDLD)

  • 2222, West Iowa Avenue, Chickasha, Grady County, Oklahoma, 73018, United States

    CHICKASHA, OK 730182738

    Phone: (405) 224-8111

    Fax: (405) 222-9561

    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: 2009-11-03

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
I20091103000398IRegistered 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

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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 73018)

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Reviews

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Frequently asked questions

Where can patients find MS. TARA DIANE CONWAY (MS, RDLD)'s NPI?
You can confirm MS. TARA DIANE CONWAY (MS, RDLD) with NPI 1760693378; it appears in the national provider directory.
Is MS. TARA DIANE CONWAY (MS, RDLD) active in the national directory?
MS. TARA DIANE CONWAY (MS, RDLD)'s public NPI profile is in an active state.
What field does MS. TARA DIANE CONWAY (MS, RDLD) work in?
You can think of MS. TARA DIANE CONWAY (MS, RDLD) as practicing within Registered Dietitian. Clinical services aligned with this taxonomy classification.
Where is MS. TARA DIANE CONWAY (MS, RDLD)'s primary listing?
We display Chickasha, Oklahoma because that is what the record indicates for MS. TARA DIANE CONWAY (MS, RDLD).
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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