Active NPI
Sherry Kay Hubbard, L.D.
- Registered Dietitian
- Oklahoma City, OK
National Provider Identifier
1245453232
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 520
- Practice address
- 4500 N Classen Blvd
Suite 206
Oklahoma City, OK 73118-4834 - Phone
- (405) 818-6801
- Fax
- (405) 818-6801
- NPI assigned
- Apr 10, 2007
- 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 | 520 | OK | Primary |
Addresses
Primary practice location
4500 N Classen Blvd
Suite 206
Oklahoma City, OK 73118-4834
Mailing address
PO Box 18508
Oklahoma City, OK 73154-0508
Phone (405) 818-6901
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130516000278 | OK | Practitioner - Registered Dietitian Or Nutrition Professional | 3870730500 | Practice locations: Oklahoma City, OK |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 520 | OK | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176163200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1359072000000",
"number": "1245453232",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 18508",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731540508",
"telephone_number": "405-818-6901",
"fax_number": "405-818-6801"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4500 N CLASSEN BLVD",
"address_2": "SUITE 206",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731184834",
"telephone_number": "405-818-6801",
"fax_number": "405-818-6801"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUBBARD",
"first_name": "SHERRY",
"middle_name": "KAY",
"credential": "L.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-10",
"last_updated": "2013-01-25",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "OK",
"license": "520",
"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 Jan 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.