Organization Active NPI

Cornerstone Nutrition & Diabetes, PLLC

  • Registered Dietitian
  • Norman, OK
National Provider Identifier
1154939452
Registry record updated Jul 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Legal business name
CORNERSTONE NUTRITION & DIABETES, PLLC
Practice address
2500 Boardwalk Ste 220
Norman, OK 73069-6593
Phone
(405) 701-9909
NPI assigned
Jul 22, 2020
Last updated
Jul 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2020

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

Authorized official

Name
Sarah Barnes, RDNPI 1245530971
Title
President
Phone
(405) 701-9909

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X NU Primary

Addresses

Primary practice location

2500 Boardwalk Ste 220
Norman, OK 73069-6593

Mailing address

2500 Boardwalk Ste 220
Norman, OK 73069-6593
Phone (405) 701-9909

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL insync

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200827000777 OK Part B Supplier - Clinic/Group Practice 0345667911 Receives reassigned benefits from 3 practitioners
Practice locations: Norman, OK

National Provider Directory

National Provider Directory

Locations

2500 Boardwalk
Ste 220
Norman, OK 73069
Phone (405) 701-9909

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1595376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595376000000",
    "number": "1154939452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 BOARDWALK STE 220",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730696593",
            "telephone_number": "405-701-9909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 BOARDWALK STE 220",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730696593",
            "telephone_number": "405-701-9909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORNERSTONE NUTRITION & DIABETES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-22",
        "last_updated": "2020-07-22",
        "certification_date": "2020-07-22",
        "status": "A",
        "authorized_official_last_name": "BARNES",
        "authorized_official_first_name": "SARAH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "405-701-9909",
        "authorized_official_credential": "RD"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "insync",
            "affiliation": "N",
            "address_1": "2500 Boardwalk Ste 220",
            "city": "Norman",
            "state": "OK",
            "country_code": "US",
            "postal_code": "730696593",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Jul 22, 2020; 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.

Verify at the official NPI Registry.