Andrea Elaine Fleenor, RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Practice address

4301 Mow-Way Road
Reynolds Army Community Hospital (McUa-QC, Ms.Prescott)
Ft. Sill, OK 73503-6300

Phone

(580) 458-2134

Fax

(580) 458-2314

NPI assigned

Oct 24, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Andrea Elaine Favreau Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1407930696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6921 W GORE BLVD",
            "address_2": "#516",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735055330",
            "telephone_number": "580-458-3055",
            "fax_number": "580-458-2846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4301 MOW-WAY ROAD",
            "address_2": "REYNOLDS ARMY COMMUNITY HOSPITAL (MCUA-QC, MS.PRESCOTT)",
            "city": "FT. SILL",
            "state": "OK",
            "postal_code": "735036300",
            "telephone_number": "580-458-2134",
            "fax_number": "580-458-2314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLEENOR",
        "first_name": "ANDREA",
        "middle_name": "ELAINE",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANDREA",
            "last_name": "FAVREAU",
            "middle_name": "ELAINE",
            "credential": "RD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Dawn Ferguson
• Jason Lee Ferguson, D.O.
• Bryan Fillmore
• Bethany Ann Lydia Fischer, RD/LD
• Melissa Lynn Fleener, MSN, APRN, PMHNP-BC
• Daniel Patrick Flynn, DPM
• Timothy Flynn, M.D.
• Catherine Mary Foley, MD
• Marcia Louise Folkes, MSW
• Dakota Ray Forbes

• Registered Dietitian in Fort Sill, OK
• Providers in Fort Sill, OK by specialty
• Registered Dietitian in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.