Organization Active NPI

Nutrition & Diabetes Services LLC

  • Registered Dietitian
  • Stillwater, OK
National Provider Identifier
1487031191
Registry record updated May 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
286 Issued in OK
Legal business name
NUTRITION & DIABETES SERVICES LLC
Practice address
2220 W 7TH Ave
Stillwater, OK 74074-4105
Phone
(405) 377-1988
Fax
(405) 624-1988
NPI assigned
May 1, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2015

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

Authorized official

Name
Rosemary Yurczyk
Title
Owner
Phone
(580) 716-7262

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 133V00000X 286 OK Primary

Addresses

Primary practice location

2220 W 7TH Ave
Stillwater, OK 74074-4105

Mailing address

2220 W 7TH Ave
Stillwater, OK 74074-4105
Phone (405) 377-1988

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1430438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430438400000",
    "number": "1487031191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2220 W 7TH AVE",
            "city": "STILLWATER",
            "state": "OK",
            "postal_code": "740744105",
            "telephone_number": "405-377-1988",
            "fax_number": "405-624-1988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2220 W 7TH AVE",
            "city": "STILLWATER",
            "state": "OK",
            "postal_code": "740744105",
            "telephone_number": "405-377-1988",
            "fax_number": "405-624-1988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NUTRITION & DIABETES SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-01",
        "last_updated": "2015-05-01",
        "status": "A",
        "authorized_official_last_name": "YURCZYK",
        "authorized_official_first_name": "ROSEMARY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "580-716-7262"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": "OK",
            "license": "286",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stillwater, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2015; 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.