Individual provider Active NPI

Kristen Marie Woodruff, R.D.

  • Registered Dietitian
  • Miami, OK
National Provider Identifier
1497132690
Registry record updated Apr 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
1802 Issued in OK
Practice address
7600 S Highway 69a
Miami, OK 74354-1016
Phone
(918) 332-4365
Fax
(918) 332-4417
NPI assigned
Apr 27, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2015

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 1802 OK Primary
Registered Dietitian 133V00000X 20100320793 MO
Registered Dietitian 133V00000X 1821 KS

Addresses

Primary practice location

7600 S Highway 69a
Miami, OK 74354-1016

Mailing address

7600 S Highway 69a
PO Box 1498
Miami, OK 74354-1016
Phone (918) 332-4365

Other names 1

  • Kristen Marie Steinhebel 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

State licenses

LicenseStateTypeSpecialty
20100320793MOMDRegistered Dietitian
1802OKMDRegistered Dietitian
1821KSMDOptometrist

NPI Registry JSON

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

{
    "created_epoch": "1430092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430092800000",
    "number": "1497132690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7600 S HIGHWAY 69A",
            "address_2": "PO BOX 1498",
            "city": "MIAMI",
            "state": "OK",
            "postal_code": "743541016",
            "telephone_number": "918-332-4365",
            "fax_number": "918-332-4417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7600 S HIGHWAY 69A",
            "city": "MIAMI",
            "state": "OK",
            "postal_code": "743541016",
            "telephone_number": "918-332-4365",
            "fax_number": "918-332-4417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODRUFF",
        "first_name": "KRISTEN",
        "middle_name": "MARIE",
        "credential": "R.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-27",
        "last_updated": "2015-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "OK",
            "license": "1802",
            "primary": true
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MO",
            "license": "20100320793",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "KS",
            "license": "1821",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTEN",
            "last_name": "STEINHEBEL",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Miami, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 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.