Active NPI
Ladybug Nutrition LLC
- Registered Dietitian
- Edmond, OK
National Provider Identifier
1295530897
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Legal business name
- LADYBUG NUTRITION LLC
- Practice address
- 225 Promise Way
Edmond, OK 73003-3086 - Phone
- (225) 284-9679
- NPI assigned
- Feb 17, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jamie M Baham, RD
- Title
- Owner
- Phone
- (225) 284-9679
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | Primary |
Addresses
Primary practice location
225 Promise Way
Edmond, OK 73003-3086
Mailing address
225 Promise Way
Edmond, OK 73003-3086
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1739750400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1742774400000",
"number": "1295530897",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "225 PROMISE WAY",
"city": "EDMOND",
"state": "OK",
"postal_code": "730033086"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "225 PROMISE WAY",
"city": "EDMOND",
"state": "OK",
"postal_code": "730033086",
"telephone_number": "225-284-9679"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LADYBUG NUTRITION LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-02-17",
"last_updated": "2025-03-24",
"certification_date": "2025-03-24",
"status": "A",
"authorized_official_last_name": "BAHAM",
"authorized_official_first_name": "JAMIE",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "225-284-9679",
"authorized_official_credential": "RD"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Edmond, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2025; 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.