Active NPI
Cody Werneburg
- Registered Dietetic Technician
- Norman, OK
National Provider Identifier
1043841893
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietetic Technician
- Practice address
- 3300 Healthplex Pkwy
Norman, OK 73072-9749 - Phone
- (405) 515-2131
- NPI assigned
- Jan 30, 2020
- Sex
- Male
- Sole proprietor
- No
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 Dietetic Technician | 136A00000X | Primary |
Addresses
Primary practice location
3300 Healthplex Pkwy
Norman, OK 73072-9749
Mailing address
5246 Mockingbird LN
Blanchard, OK 73010-7814
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1580342400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1580342400000",
"number": "1043841893",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5246 MOCKINGBIRD LN",
"city": "BLANCHARD",
"state": "OK",
"postal_code": "730107814"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3300 HEALTHPLEX PKWY",
"city": "NORMAN",
"state": "OK",
"postal_code": "730729749",
"telephone_number": "405-515-2131"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WERNEBURG",
"first_name": "CODY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-01-30",
"last_updated": "2020-01-30",
"certification_date": "2020-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "136A00000X",
"taxonomy_group": "",
"desc": "Dietetic Technician, Registered",
"state": null,
"license": null,
"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 Jan 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.