Individual provider Active NPI

Courtney Lundy, R.D, L.D.

  • Registered Dietitian
  • Moore, OK
National Provider Identifier
1497298350
Registry record updated Oct 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
1947 Issued in OK
Practice address
700 S Telephone Rd Ste 201
Moore, OK 73160-2538
Phone
(405) 307-1000
NPI assigned
Nov 28, 2016
Last updated
Oct 31, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2024

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 1947 OK Primary

Addresses

Primary practice location

700 S Telephone Rd Ste 201
Moore, OK 73160-2538

Mailing address

PO Box 1330
Norman, OK 73070-1330
Phone (405) 307-1000

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241111003819 OK Practitioner - Registered Dietitian Or Nutrition Professional 2365976586 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1947OKMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Virtual Medical Partners of California, P.C. CurrentSince Apr 1, 2025 Accepting new patients
Norman Regional Providers Primary Care CurrentSince Sep 1, 2024 Accepting new patients
Michael Albert M D P C CurrentSince Apr 1, 2025 Accepting new patients

Locations

700 S Telephone Rd
Ste 201
Moore, OK 73160
Phone (405) 307-5735

2605 SW 119th St
Ste A
Oklahoma City, OK 73170
Phone (405) 912-3100

Interoperability endpoints

  • Direct secure messaging: courtney.lundy.1@25828.direct.athenahealth.com

Organizations & group practices 3

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": "1480291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730332800000",
    "number": "1497298350",
    "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": "405-307-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 S TELEPHONE RD STE 201",
            "city": "MOORE",
            "state": "OK",
            "postal_code": "731602538",
            "telephone_number": "405-307-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUNDY",
        "first_name": "COURTNEY",
        "credential": "R.D, L.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-28",
        "last_updated": "2024-10-31",
        "certification_date": "2024-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "OK",
            "license": "1947",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moore, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.