PETRA HAYLEY COLINDRES, MA,RDN/LD,IBCLC,CPT — NPI 1407232317 (Licensed & Credentialed Dietary & Nutritional Service Providers

CMS-1500 Box 24J / 33a • NPI

1407232317

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

133V00000X (CMS 71)

Licensed & Credentialed Dietary & Nutritional Service Providers — Dietician, Registered

Box 32 Service Location & ZIP+4

4129 NW 45TH ST, OKC, OK, 73112

Official NPPES Practice Location

Practice Phone & Referral Fax

(858) 352-8354

Direct NPPES Verification Line

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1407232317 (PETRA HAYLEY COLINDRES, MA,RDN/LD,IBCLC,CPT) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1407232317` (NPI-1 Individual Practitioner)
Provider / Legal Name	PETRA HAYLEY COLINDRES, MA,RDN/LD,IBCLC,CPT
Plain-English Specialty	Licensed & Credentialed Dietary & Nutritional Service Providers — Dietician, Registered NUCC Code: `133V00000X` (Dietitian, Registered)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	4129 NW 45TH ST, OKC, OK, 73112
Practice Telephone / Fax	Tel: (858) 352-8354
Administrative Mailing Address	4129 NW 45TH ST, OKC, OK, 73112
Enumeration & Last Sync	Enumerated: 2015-08-03 \| CMS Record Updated: 2017-04-26

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

4129 NW 45TH ST, OKC, OK, 73112

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Plain-English Taxonomy & CMS Crosswalk (133V00000X)

What Does Taxonomy Code 133V00000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 133V00000X translates to:
"Licensed & Credentialed Dietary & Nutritional Service Providers — Dietician, Registered"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 71 (Registered Dietitian or Nutrition Professional)
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Dietitian, Registered for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (PETRA HAYLEY COLINDRES, MA,RDN/LD,IBCLC,CPT)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`133VN1006X` — Dietitian, Registered, Nutrition, Metabolic Plain English: Licensed & Credentialed Dietary & Nutritional Service Providers — Dietician, Registered, Nutrition, Metabolic	State: N/A \| License: `Verified` \| Primary: Secondary
`133V00000X` — Dietitian, Registered Plain English: Licensed & Credentialed Dietary & Nutritional Service Providers — Dietician, Registered	State: OK \| License: `LP2053` \| Primary: Yes (Primary)
`133NN1002X` — Nutritionist, Nutrition, Education Plain English: Licensed & Credentialed Nutritionist, Nutrition, Education	State: N/A \| License: `Verified` \| Primary: Secondary
`133VN1004X` — Dietitian, Registered, Nutrition, Pediatric Plain English: Licensed & Credentialed Dietary & Nutritional Service Providers — Dietician, Registered, Nutrition, Pediatric	State: N/A \| License: `Verified` \| Primary: Secondary

Medical Billing, RCM & Hospital Credentialing Teams:

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PETRA HAYLEY COLINDRES, MA,RDN/LD,IBCLC,CPT (NPI #1407232317)