Individual provider Active NPI

Erin Elizabeth Coppenbarger, MS, RD/LD, CLC

  • Registered Dietitian
  • Oklahoma City, OK
National Provider Identifier
1437695699
Registry record updated Jan 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
2131 Issued in OK
Practice address
500 SW 44TH St
Oklahoma City, OK 73109-3540
Phone
(405) 632-6688
Fax
(405) 232-0716
NPI assigned
Jan 12, 2017
Last updated
Jan 12, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 2131 OK Primary
Lactation Consultant (Non-RN) 174N00000X 220455 NE

Addresses

Primary practice location

500 SW 44TH St
Oklahoma City, OK 73109-3540

Mailing address

500 SW 44TH St
Oklahoma City, OK 73109-3540
Phone (405) 632-6688

Other names 1

  • Miss Erin Elizabeth Straw Former name

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)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
220455NEMDLactation Consultant (Non-RN)
2131OKMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1484179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484179200000",
    "number": "1437695699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 SW 44TH ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731093540",
            "telephone_number": "405-632-6688",
            "fax_number": "405-232-0716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 SW 44TH ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731093540",
            "telephone_number": "405-632-6688",
            "fax_number": "405-232-0716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COPPENBARGER",
        "first_name": "ERIN",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "MS, RD/LD, CLC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-12",
        "last_updated": "2017-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "OK",
            "license": "2131",
            "primary": true
        },
        {
            "code": "174N00000X",
            "taxonomy_group": "",
            "desc": "Lactation Consultant, Non-RN",
            "state": "NE",
            "license": "220455",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ERIN",
            "last_name": "STRAW",
            "middle_name": "ELIZABETH",
            "prefix": "MISS",
            "credential": "MS, RD, LMNT, CLC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2017; 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.