Active NPI
Elizabeth S Squires Stapley, RD,LD
- Registered Dietitian
- Norman, OK
National Provider Identifier
1003060062
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 1616
- Practice address
- 901 N Porter Ave
Norman, OK 73071-6404 - Phone
- (801) 891-5091
- NPI assigned
- Nov 4, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 1616 | OK | Primary |
Addresses
Primary practice location
901 N Porter Ave
Norman, OK 73071-6404
Mailing address
1203 Rebecca LN #218
Norman, OK 73072
Phone (801) 891-5091
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1616 | OK | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1225756800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1228089600000",
"number": "1003060062",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1203 REBECCA LN #218",
"city": "NORMAN",
"state": "OK",
"postal_code": "73072",
"telephone_number": "801-891-5091"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "901 N PORTER AVE",
"city": "NORMAN",
"state": "OK",
"postal_code": "730716404",
"telephone_number": "801-891-5091"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STAPLEY",
"first_name": "ELIZABETH",
"middle_name": "S SQUIRES",
"name_prefix": "Mrs.",
"credential": "RD,LD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-11-04",
"last_updated": "2008-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "OK",
"license": "1616",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Norman, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.