Organization Active NPI

Boswell Nutrition, PLLC

  • Registered Dietitian
  • Oklahoma City, OK
National Provider Identifier
1174807168
Registry record updated Oct 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
1778 Issued in OK
Legal business name
BOSWELL NUTRITION, PLLC
Practice address
400 NW 13TH St
Oklahoma City, OK 73103-3711
Phone
(405) 397-6999
Fax
(405) 563-9066
NPI assigned
Oct 8, 2011
Last updated
Oct 10, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2011

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

Authorized official

Name
Mrs. Kara Rae Boswell, MS, RD, LD
Title
Owner/Dietitian
Phone
(405) 397-6999

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 1778 OK Primary

Addresses

Primary practice location

400 NW 13TH St
Oklahoma City, OK 73103-3711

Mailing address

13900 Sterlington
Edmond, OK 73013-7031
Phone (405) 397-6999

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1318032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318204800000",
    "number": "1174807168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13900 STERLINGTON",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730137031",
            "telephone_number": "405-397-6999",
            "fax_number": "405-563-9066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 NW 13TH ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731033711",
            "telephone_number": "405-397-6999",
            "fax_number": "405-563-9066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOSWELL NUTRITION, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-08",
        "last_updated": "2011-10-10",
        "status": "A",
        "authorized_official_last_name": "BOSWELL",
        "authorized_official_first_name": "KARA",
        "authorized_official_middle_name": "RAE",
        "authorized_official_title_or_position": "OWNER/DIETITIAN",
        "authorized_official_telephone_number": "405-397-6999",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MS, RD, LD"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "OK",
            "license": "1778",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 10, 2011; 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.