Active NPI
Susan Lay, N.D.
- Nutrition Education Nutritionist
- Edmond, OK
National Provider Identifier
1508211749
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutrition Education Nutritionist
- License
- 1508211749
- Practice address
- 2601 NW 177TH St
Edmond, OK 73012-8917 - Phone
- (405) 226-5808
- NPI assigned
- Apr 25, 2016
- 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 |
|---|---|---|---|---|
| Nutrition Education Nutritionist | 133NN1002X | 1508211749 | OK | Primary |
Addresses
Primary practice location
2601 NW 177TH St
Edmond, OK 73012-8917
Mailing address
2601 NW 177TH St
Edmond, OK 73012-8917
Phone (405) 226-5808
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1508211749 | OK | MD | Nutrition Education Nutritionist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1461542400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603411200000",
"number": "1508211749",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2601 NW 177TH ST",
"city": "EDMOND",
"state": "OK",
"postal_code": "730128917",
"telephone_number": "405-226-5808"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2601 NW 177TH ST",
"city": "EDMOND",
"state": "OK",
"postal_code": "730128917",
"telephone_number": "405-226-5808"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAY",
"first_name": "SUSAN",
"name_prefix": "Dr.",
"credential": "N.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-04-25",
"last_updated": "2020-10-23",
"certification_date": "2020-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "133NN1002X",
"taxonomy_group": "",
"desc": "Nutritionist, Nutrition, Education",
"state": "OK",
"license": "1508211749",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Edmond, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.