Active NPI
Aubrey Kayee Golbek
- Registered Dietitian
- Tulsa, OK
National Provider Identifier
1407363773
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 2269
- Practice address
- 1712 E 14TH St
Tulsa, OK 74104-4434 - Phone
- (539) 302-8583
- NPI assigned
- Jan 8, 2018
- Last updated
- Jan 8, 2018
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 2015038304 | MO | |
| Registered Dietitian | 133V00000X | 2269 | OK | Primary |
Addresses
Primary practice location
1712 E 14TH St
Tulsa, OK 74104-4434
Mailing address
23352 S 4150 Rd
Claremore, OK 74019-0601
Phone (918) 257-9411
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2015038304 | MO | MD | Registered Dietitian |
| 2269 | OK | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1515369600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1515369600000",
"number": "1407363773",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23352 S 4150 RD",
"city": "CLAREMORE",
"state": "OK",
"postal_code": "740190601",
"telephone_number": "918-257-9411"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1712 E 14TH ST",
"city": "TULSA",
"state": "OK",
"postal_code": "741044434",
"telephone_number": "539-302-8583"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOLBEK",
"first_name": "AUBREY",
"middle_name": "KAYEE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-01-08",
"last_updated": "2018-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MO",
"license": "2015038304",
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "OK",
"license": "2269",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tulsa, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.