Individual provider Active NPI

Carol Marie Schwake, MPH,RD,LD

  • Registered Dietitian
  • Oklahoma City, OK
National Provider Identifier
1306930326
Registry record updated Feb 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
LD263 Issued in OK
Practice address
5631 N.W. 37
Oklahoma City, OK 73122
Phone
(405) 495-0669
Fax
(405) 495-0669
NPI assigned
Oct 3, 2006
Last updated
Feb 9, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 9, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X LD263 OK Primary

Addresses

Primary practice location

5631 N.W. 37
Oklahoma City, OK 73122

Mailing address

5631 N.W. 37
Oklahoma City, OK 73122
Phone (405) 495-0669

Other identifiers 3

IdentifierTypeStateIssuer
200006120AMedicaidOK
200006120CMedicaidOK
200006120BMedicaidOK

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

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": "1297209600000",
    "number": "1306930326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5631 N.W. 37",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "73122",
            "telephone_number": "405-495-0669",
            "fax_number": "405-495-0669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5631 N.W. 37",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "73122",
            "telephone_number": "405-495-0669",
            "fax_number": "405-495-0669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHWAKE",
        "first_name": "CAROL",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "MPH,RD,LD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-03",
        "last_updated": "2011-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "OK",
            "license": "LD263",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200006120A",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200006120C",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200006120B",
            "state": "OK"
        }
    ],
    "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 Feb 9, 2011; 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.