Active NPI
Larry Stanbrough, RD,LD, CDE
- Registered Dietitian
- Yukon, OK
National Provider Identifier
1336441781
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 769
- Practice address
- 1201 Health Center Pkwy
Yukon, OK 73099-6381 - Phone
- (405) 717-6800
- Fax
- (405) 717-5368
- NPI assigned
- Nov 17, 2010
- Sex
- Male
- Sole proprietor
- No
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 | 769 | OK | Primary |
Addresses
Primary practice location
1201 Health Center Pkwy
Yukon, OK 73099-6381
Mailing address
1201 Health Center Pkwy
Yukon, OK 73099-6381
Phone (405) 717-6800
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1289952000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1289952000000",
"number": "1336441781",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1201 HEALTH CENTER PKWY",
"city": "YUKON",
"state": "OK",
"postal_code": "730996381",
"telephone_number": "405-717-6800",
"fax_number": "405-717-5368"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1201 HEALTH CENTER PKWY",
"city": "YUKON",
"state": "OK",
"postal_code": "730996381",
"telephone_number": "405-717-6800",
"fax_number": "405-717-5368"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STANBROUGH",
"first_name": "LARRY",
"credential": "RD,LD, CDE",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-11-17",
"last_updated": "2010-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "OK",
"license": "769",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Yukon, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 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.