Active NPI
Darcy Dee Butler, RDN, LD
- Registered Dietitian
- Ponca City, OK
National Provider Identifier
1154586253
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 1588
- Practice address
- 2508 Bluestem Rd
Ponca City, OK 74604-3201 - Phone
- (620) 583-8080
- Fax
- (580) 304-7430
- NPI assigned
- Jul 28, 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 | 1588 | OK | Primary |
Addresses
Primary practice location
2508 Bluestem Rd
Ponca City, OK 74604-3201
Mailing address
2508 Bluestem Rd
Ponca City, OK 74604-3201
Phone (620) 583-8080
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101110001377 | OK | Practitioner - Registered Dietitian Or Nutrition Professional | 1153516521 | Practice locations: Ponca City, OK |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1588 | OK | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1217203200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1415664000000",
"number": "1154586253",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2508 BLUESTEM RD",
"city": "PONCA CITY",
"state": "OK",
"postal_code": "746043201",
"telephone_number": "620-583-8080",
"fax_number": "580-304-7430"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2508 BLUESTEM RD",
"city": "PONCA CITY",
"state": "OK",
"postal_code": "746043201",
"telephone_number": "620-583-8080",
"fax_number": "580-304-7430"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUTLER",
"first_name": "DARCY",
"middle_name": "DEE",
"credential": "RDN, LD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-07-28",
"last_updated": "2014-11-11",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "OK",
"license": "1588",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ponca City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.