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

Tracie Kennon Mathis, RD/LDIBCLC

Individual provider Registered Dietitian · NPI 1720267651

Tracie Kennon Mathis, RD/LDIBCLC is a Registered Dietitian in Tulsa, Oklahoma. Practices as a sole proprietor. Licensed in Oklahoma.

Licensed in
OK
In the registry since
2007

Practice location Address checks out

6161 S Yale Ave
Tulsa, OK 74136-1902
Phone: (918) 230-6409
Show map & directions

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

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence LD932 (OK)

Record details

NPI number1720267651
Entity typeIndividual (Type 1)
GenderFemale
Credentials RD/LDIBCLC
Sole proprietorYes
NPI enumeratedOctober 27, 2007
Last updated in NPPESJanuary 26, 2022
Certification dateJanuary 26, 2022

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