Active NPI
Cheryl Reames Shreve, RDLD
- Registered Dietitian
- Enid, OK
National Provider Identifier
1215022645
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- LD135
- Practice address
- 4005 Shiloh Avenue
Enid, OK 73703-2011 - Phone
- (580) 242-0911
- NPI assigned
- Oct 3, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | LD135 | OK | Primary |
Addresses
Primary practice location
4005 Shiloh Avenue
Enid, OK 73703-2011
Mailing address
4214 Country Club Dr
Enid, OK 73703-2063
Phone (580) 242-0911
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100675930A | Medicaid | OK |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LD135 | OK | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1266883200000",
"number": "1215022645",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4214 COUNTRY CLUB DR",
"city": "ENID",
"state": "OK",
"postal_code": "737032063",
"telephone_number": "580-242-0911"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4005 SHILOH AVENUE",
"city": "ENID",
"state": "OK",
"postal_code": "737032011",
"telephone_number": "580-242-0911"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHREVE",
"first_name": "CHERYL",
"middle_name": "REAMES",
"name_prefix": "Mrs.",
"credential": "RDLD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-03",
"last_updated": "2010-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "OK",
"license": "LD135",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100675930A",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}Other providers in Enid, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.