Active NPI
Mary Lovelady Carter, MS, RD, LD, CDE
- Registered Dietitian
- Collinsville, OK
National Provider Identifier
1164646576
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 854
- Practice address
- 7106 E 150TH St N
Collinsville, OK 74021-4096 - Phone
- (918) 371-3253
- NPI assigned
- Apr 13, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 854 | OK | Primary |
| Registered Dietitian | 133V00000X | DT02168 | TX |
Addresses
Primary practice location
7106 E 150TH St N
Collinsville, OK 74021-4096
Mailing address
7106 E. 150TH Street N
Collinsville, OK 74021
Phone (918) 371-3253
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DT02168 | TX | MD | Registered Dietitian |
| 854 | OK | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176422400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1164646576",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7106 E. 150TH STREET N",
"city": "COLLINSVILLE",
"state": "OK",
"postal_code": "74021",
"telephone_number": "918-371-3253"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7106 E 150TH ST N",
"city": "COLLINSVILLE",
"state": "OK",
"postal_code": "740214096",
"telephone_number": "918-371-3253"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARTER",
"first_name": "MARY",
"middle_name": "LOVELADY",
"credential": "MS, RD, LD, CDE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-13",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "OK",
"license": "854",
"primary": true
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "TX",
"license": "DT02168",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Collinsville, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.