Individual provider Active NPI

Cynthia Stanbrough

  • Registered Dietitian
  • Oklahoma City, OK
National Provider Identifier
1184260846
Registry record updated Nov 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
720 Issued in OK
Practice address
4200 W Memorial Rd Ste 508
Oklahoma City, OK 73120-8359
Phone
(405) 755-7561
NPI assigned
Nov 18, 2019
Last updated
Nov 18, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2019

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 720 OK Primary
Renal Nutrition Registered Dietitian 133VN1005X 720 OK
Metabolic Nutrition Registered Dietitian 133VN1006X 720 OK
Obesity and Weight Management Nutrition Registered Dietitian 133VN1201X 720 OK

Addresses

Primary practice location

4200 W Memorial Rd Ste 508
Oklahoma City, OK 73120-8359

Mailing address

10501 Albert St
Yukon, OK 73099-8348

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK, KS, MO, AR, TX5 enrollments

Enrollment records 5

Enrollment IDStateProvider typePAC IDDetails
I20210830000361 OK Practitioner - Registered Dietitian Or Nutrition Professional 3476958414 Reassigns benefits to 1 organization
I20260109000835 KS Practitioner - Registered Dietitian Or Nutrition Professional 3476958414 Reassigns benefits to 1 organization
I20260223003781 MO Practitioner - Registered Dietitian Or Nutrition Professional 3476958414 Reassigns benefits to 1 organization
I20260310001405 AR Practitioner - Registered Dietitian Or Nutrition Professional 3476958414 Reassigns benefits to 1 organization
I20260508000166 TX Practitioner - Registered Dietitian Or Nutrition Professional 3476958414 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1900 NW Expressway
Suite 800
Oklahoma City, OK 73118-1804

2033 Ell Rd
Soddy Daisy, TN 37379-8501

4600 Touchton Rd E
Suite 100
Jacksonville, FL 32246-8299

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3058ARMDDentist
720OKMDPhysical Therapy Assistant
3558KSMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Total Wound Care of Arkansas,LLC CurrentSince Feb 5, 2026 Accepting new patients
Total Wound Care of Missouri CurrentSince Dec 30, 2025 Accepting new patients
Banister & Associates LLC Nutrition, Metabolic CurrentSince Nov 24, 2019 Accepting new patients
Total Wound Care of Kansas LLC CurrentSince Nov 10, 2025 Accepting new patients
Total Wound Care of Oklahoma, LLC CurrentSince Nov 10, 2025 Accepting new patients
Total Wound Care of Texas LLC Past Accepting new patients
Mobile Medical Consultants, PLLC Past Accepting new patients

Locations

609 SW 8th St
Bentonville, AR 72712
Phone (479) 966-4055

4250 N Venetian Ln
Fayetteville, AR 72703

801 E Douglas Ave
Wichita, KS 67202
Phone (316) 217-2984

9300 E 29th St N
Ste 205
Wichita, KS 67226
Phone (316) 219-4763

800 E 101st Ter
Ste 350
Kansas City, MO 64131
Phone (816) 327-2336

1900 NW Expressway
Ste 800
Oklahoma City, OK 73118
Phone (405) 226-2595

4200 W Memorial Rd
Ste 508
Oklahoma City, OK 73120
Phone (405) 752-0611

Organizations & group practices 7

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": "1574035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574035200000",
    "number": "1184260846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10501 ALBERT ST",
            "city": "YUKON",
            "state": "OK",
            "postal_code": "730998348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 W MEMORIAL RD STE 508",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731208359",
            "telephone_number": "405-755-7561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANBROUGH",
        "first_name": "CYNTHIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-18",
        "last_updated": "2019-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "OK",
            "license": "720",
            "primary": true
        },
        {
            "code": "133VN1005X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Renal",
            "state": "OK",
            "license": "720",
            "primary": false
        },
        {
            "code": "133VN1006X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Metabolic",
            "state": "OK",
            "license": "720",
            "primary": false
        },
        {
            "code": "133VN1201X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Obesity and Weight Management",
            "state": "OK",
            "license": "720",
            "primary": false
        }
    ],
    "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 Nov 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.