Individual provider Active NPI

Rosemary Lynn Yurczyk, RD, CDE

  • Registered Dietitian
  • Stillwater, OK
National Provider Identifier
1144204660
Registry record updated May 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
R608042
Practice address
2220 W 7TH Ave
Stillwater, OK 74074-4105
Phone
(405) 377-1988
Fax
(405) 624-1988
NPI assigned
Nov 30, 2005
Last updated
May 1, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2015

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 R608042 Primary

Addresses

Primary practice location

2220 W 7TH Ave
Stillwater, OK 74074-4105

Mailing address

2220 W 7TH Ave
Stillwater, OK 74074-4105
Phone (405) 377-1988

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

State licenses

LicenseStateTypeSpecialty
286OKMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Marshall Medical Center Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1133308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430438400000",
    "number": "1144204660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2220 W 7TH AVE",
            "city": "STILLWATER",
            "state": "OK",
            "postal_code": "740744105",
            "telephone_number": "405-377-1988",
            "fax_number": "405-624-1988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2220 W 7TH AVE",
            "city": "STILLWATER",
            "state": "OK",
            "postal_code": "740744105",
            "telephone_number": "405-377-1988",
            "fax_number": "405-624-1988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YURCZYK",
        "first_name": "ROSEMARY",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "RD, CDE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-30",
        "last_updated": "2015-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": "R608042",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stillwater, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2015; 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.