Individual provider Active NPI

Christie L Bruehl, RD LD

  • Registered Dietitian
  • Norman, OK
National Provider Identifier
1437269537
Registry record updated Oct 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
LD1032 Issued in OK
Practice address
3400 W Tecumseh Rd
Suite 206
Norman, OK 73072-1810
Phone
(405) 307-5731
Fax
(405) 307-3719
NPI assigned
Aug 30, 2006
Last updated
Oct 19, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2015

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 LD1032 OK Primary

Addresses

Primary practice location

3400 W Tecumseh Rd
Suite 206
Norman, OK 73072-1810

Mailing address

PO Box 1330
Norman, OK 73070-1330
Phone (405) 307-6668

Other names 1

  • Christie L Miller Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110222001212 OK Practitioner - Registered Dietitian Or Nutrition Professional 6103007299 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cornerstone Nutrition and Diabetes PLLCGroup PAC ID 0345667911, 3 clinicians

Practice addresses (Care Compare)

2429 Westport Dr
Norman, OK 73069-6337
Phone (405) 701-9909

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LD1032OKMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Cornerstone Nutrition & Diabetes, PLLC Dietitian, Registered CurrentSince Aug 1, 2020 Accepting new patients
Nutrition Partners LLC Dietitian, Registered Past Accepting new patients
Banister & Associates LLC Past Accepting new patients
NRHS Health and Wellness Services Dietitian, Registered PastSince Jan 1, 2015 Accepting new patients

Locations

2429 Westport Dr
Norman, OK 73069
Phone (405) 308-9120

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445212800000",
    "number": "1437269537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1330",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730701330",
            "telephone_number": "405-307-6668",
            "fax_number": "405-701-6170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 W TECUMSEH RD",
            "address_2": "SUITE 206",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730721810",
            "telephone_number": "405-307-5731",
            "fax_number": "405-307-3719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUEHL",
        "first_name": "CHRISTIE",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "RD LD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-30",
        "last_updated": "2015-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "OK",
            "license": "LD1032",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTIE",
            "last_name": "MILLER",
            "middle_name": "L",
            "credential": "RD LD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Norman, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.