Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Amanda Kaylene Humphreys, RD, LD

Individual provider Registered Dietitian · NPI 1013751395

Amanda Kaylene Humphreys, RD, LD is a Registered Dietitian OR Nutrition Professional in Talihina, Oklahoma. Qualified in 2020, 6 years ago. Works from 2 locations. Licensed in Oklahoma.

Years since qualifying
6
Licensed in
OK
In the registry since
2024
What do these letters mean?
RD — Registered Dietitian
A credentialed nutrition professional.
LD — Licensed Dietitian
A dietitian licensed by a state board.

See every abbreviation used in this directory →

Practice location Address checks out

52984 423rd Ave
Talihina, OK 74571-2053
Phone: (580) 272-7689
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 115 W 3rd St Ste 800, Tulsa, OK 74103-3411 — (918) 585-3045

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence 2979 (OK)

Record details

NPI number1013751395
Entity typeIndividual (Type 1)
GenderFemale
Credentials RD , LD
Sole proprietorNo
NPI enumeratedJune 21, 2024
Last updated in NPPESNovember 19, 2024
Certification dateNovember 19, 2024
Mailing address52984 423rd Ave, Talihina, OK 74571-2053

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyREGISTERED DIETITIAN OR NUTRITION PROFESSIONAL
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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