Individual provider Active NPI

Erin Kyle, R.D.

  • Registered Dietitian
  • Stillwater, OK
National Provider Identifier
1366998122
Registry record updated Oct 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
2572 Issued in OK
Practice address
901 S Main St
Stillwater, OK 74074-4635
Phone
(307) 690-8911
NPI assigned
Aug 31, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X D-1337 ID
Registered Dietitian 133V00000X 198 WY
Registered Dietitian 133V00000X 2572 OK Primary

Addresses

Primary practice location

901 S Main St
Stillwater, OK 74074-4635

Mailing address

1277 N 15TH St
Laramie, WY 82072-2343

Other practice location 1

1277 N 15th St
Laramie, WY 82072-2343
Phone (307) 745-8991

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161011001985 WY Practitioner - Registered Dietitian Or Nutrition Professional 0446548242 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
D-1337IDMDRegistered Dietitian
2572OKMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Laramie Physicians for Women PC CurrentSince Mar 19, 2019 Accepting new patients
The Friendly Dietitian, LLC Dietitian, Registered Current Accepting new patients

Locations

901 S Main St
Stillwater, OK 74074
Phone (307) 690-8911

1277 N 15th St
Laramie, WY 82072
Phone (307) 742-6222

255 N 30th St
Laramie, WY 82072
Phone (307) 742-2141

2710 Harney St
Ste 100
Laramie, WY 82072
Phone (307) 742-3242

1016 W Spruce St
Unit A
Rawlins, WY 82301
Phone (307) 324-8494

Interoperability endpoints

  • Direct secure messaging: erin.kyle.1@29361.direct.athenahealth.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1472601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697068800000",
    "number": "1366998122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1277 N 15TH ST",
            "city": "LARAMIE",
            "state": "WY",
            "postal_code": "820722343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 S MAIN ST",
            "city": "STILLWATER",
            "state": "OK",
            "postal_code": "740744635",
            "telephone_number": "307-690-8911"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1277 N 15th St",
            "address_purpose": "LOCATION",
            "city": "Laramie",
            "state": "WY",
            "postal_code": "820722343",
            "country_code": "US",
            "telephone_number": "307-745-8991",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KYLE",
        "first_name": "ERIN",
        "credential": "R.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-31",
        "last_updated": "2023-10-12",
        "certification_date": "2023-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "ID",
            "license": "D-1337",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "WY",
            "license": "198",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "OK",
            "license": "2572",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stillwater, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2023; 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.

Verify at the official NPI Registry.