Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. AUTUMN SAGE BENSON
DeactivatedMRS. AUTUMN SAGE BENSON is a Nutritionist healthcare provider located in DURANT, Oklahoma. NPI 1235719394 is deactivated in the NPPES registry. Verify at CMS.
Nutritionist · DURANT, OK
This NPI has been deactivated.
The record was deactivated on May 17, 2025.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1235719394
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 13, 2021 (4.0931506849315 yrs)
- Last Updated
- Feb 3, 2026
- Deactivated
- May 17, 2025
- License
-
DX7962 (MD)
Practice Information
- Address
-
7289 WILSON STDURANT, OK, 747010817Browse OK providers · Browse ZIP 74701
- Phone
- 8144831212
- Primary Specialty
-
Nutritionist
133N00000X
- Additional Specialty
- Nutritionist
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.