Active NPI
Shawnee Sade Sweeney, RD
- Registered Dietitian
- Lawton, OK
National Provider Identifier
1457993008
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 2458
- Practice address
- 1515 NE Lawrie Tatum Rd
Lawton, OK 73507-3002 - Phone
- (580) 354-5000
- NPI assigned
- Oct 15, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 2458 | OK | Primary |
Addresses
Primary practice location
1515 NE Lawrie Tatum Rd
Lawton, OK 73507-3002
Mailing address
1507 Walthall Creek Dr
South Chesterfield, VA 23834-6818
Phone (804) 246-0225
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2458 | OK | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1571097600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1571097600000",
"number": "1457993008",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1507 WALTHALL CREEK DR",
"city": "SOUTH CHESTERFIELD",
"state": "VA",
"postal_code": "238346818",
"telephone_number": "804-246-0225"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1515 NE LAWRIE TATUM RD",
"city": "LAWTON",
"state": "OK",
"postal_code": "735073002",
"telephone_number": "580-354-5000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SWEENEY",
"first_name": "SHAWNEE",
"middle_name": "SADE",
"credential": "RD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-10-15",
"last_updated": "2019-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "OK",
"license": "2458",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lawton, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.