Individual provider Active NPI

Diane Sheets Cooke, RD/LD

  • Registered Dietitian
  • Oklahoma City, OK
National Provider Identifier
1104854611
Registry record updated Oct 26, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
330 Issued in OK
Practice address
9636 N May Ave
Suite 274
Oklahoma City, OK 73120-2727
Phone
(405) 848-9344
Fax
(405) 302-0333
NPI assigned
Jun 30, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 330 OK Primary

Addresses

Primary practice location

9636 N May Ave
Suite 274
Oklahoma City, OK 73120-2727

Mailing address

9636 N May Ave
Suite 274
Oklahoma City, OK 73120-2727
Phone (405) 848-9344

Other identifiers 1

IdentifierTypeStateIssuer
100112620AMedicaidOK

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)
Enrolled

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1256515200000",
    "number": "1104854611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9636 N MAY AVE",
            "address_2": "SUITE 274",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731202727",
            "telephone_number": "405-848-9344",
            "fax_number": "405-302-0333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9636 N MAY AVE",
            "address_2": "SUITE 274",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731202727",
            "telephone_number": "405-848-9344",
            "fax_number": "405-302-0333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOKE",
        "first_name": "DIANE",
        "middle_name": "SHEETS",
        "name_prefix": "Mrs.",
        "credential": "RD/LD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-30",
        "last_updated": "2009-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "OK",
            "license": "330",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100112620A",
            "state": "OK"
        }
    ],
    "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 Oct 26, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.