Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Larissa M Hancock, RD/LD

Individual provider Registered Dietitian · NPI 1790024800

Larissa M Hancock, RD/LD is a Registered Dietitian OR Nutrition Professional in Tahlequah, Oklahoma. Qualified in 2012, 14 years ago. Practices with Cherokee Nation, a 448-clinician group and accepts Medicare assignment. Licensed in Oklahoma.

Years since qualifying
14
Licensed in
OK
In the registry since
2013
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Practice location Address checks out

100 S Bliss Ave
Tahlequah, OK 74464-2512
Phone: (918) 772-4702
Fax: (918) 458-3464
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence 1905 (OK)

Record details

NPI number1790024800
Entity typeIndividual (Type 1)
GenderFemale
Credentials RD/LD
Sole proprietorNo
NPI enumeratedFebruary 8, 2013
Last updated in NPPESApril 12, 2016

Medicare enrollment

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

Medicare specialtyREGISTERED DIETITIAN OR NUTRITION PROFESSIONAL
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Cherokee Nation — 448 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Tahlequah