Active NPI
Kelly Stover Beals, R.D./ L.D.
- Registered Dietitian
- Oklahoma City, OK
National Provider Identifier
1013017003
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 1076
- Practice address
- 921 NE 13TH St
Oklahoma City, OK 73104-5007 - Phone
- (405) 270-0501
- NPI assigned
- Sep 22, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1076 | OK | MD | Optometrist |
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 1076 | OK | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
921 NE 13TH St
Oklahoma City, OK 73104-5007
Mailing address
3220 Rockhampton Ave
Oklahoma City, OK 73179-1223
Phone (405) 270-0501
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 9, 2007.
{
"created_epoch": "1158883200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1013017003",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3220 ROCKHAMPTON AVE",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731791223",
"telephone_number": "405-270-0501"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "921 NE 13TH ST",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731045007",
"telephone_number": "405-270-0501"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEALS",
"first_name": "KELLY",
"middle_name": "STOVER",
"name_prefix": "Mrs.",
"credential": "R.D./ L.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-22",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "OK",
"license": "1076",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.