Paula Marie Hunnicutt, CHN

Primary specialty

Nutrition Education NutritionistTaxonomy code 133NN1002X

License

14772 Issued in OK

Practice address

23127 E 930 Rd
Custer City, OK 73639-3900

Phone

(580) 309-2828

NPI assigned

Mar 10, 2022

Last updated

Feb 13, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• The Weight Loss and Pain Clinic LLC

  • Pediatric Nutrition Registered Dietitian
  • Weatherford, OK
  • NPI 1952031338
  NPD Authorized official

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

{
    "created_epoch": "1646870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676246400000",
    "number": "1205583135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23127 E 930 RD",
            "city": "CUSTER CITY",
            "state": "OK",
            "postal_code": "736393900",
            "telephone_number": "580-309-2828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23127 E 930 RD",
            "city": "CUSTER CITY",
            "state": "OK",
            "postal_code": "736393900",
            "telephone_number": "580-309-2828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUNNICUTT",
        "first_name": "PAULA",
        "middle_name": "MARIE",
        "credential": "CHN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-10",
        "last_updated": "2023-02-13",
        "certification_date": "2023-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133NN1002X",
            "taxonomy_group": "",
            "desc": "Nutritionist, Nutrition, Education",
            "state": "OK",
            "license": "14772",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Barbara Sharon Eddy, LPC 2613
• Joseph C Hayes
• Margo Hayes, MS PT

• Nutrition Education Nutritionist in Custer City, OK
• Providers in Custer City, OK by specialty
• Nutrition Education Nutritionist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2023; 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.