Individual provider Active NPI

Courtney L Eilerts, RD, LD

  • Registered Dietitian
  • Oklahoma City, OK
National Provider Identifier
1558569525
Registry record updated Jun 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
1521 Issued in OK
Practice address
7012 N Country Club PL
Oklahoma City, OK 73116-4409
Phone
(405) 397-0951
NPI assigned
Jul 11, 2007
Last updated
Jun 20, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 20, 2011

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 1521 OK Primary

Addresses

Primary practice location

7012 N Country Club PL
Oklahoma City, OK 73116-4409

Mailing address

7012 N Country Club PL
Oklahoma City, OK 73116-4409
Phone (405) 397-0951

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

LicenseStateTypeSpecialty
1521OKMDRegistered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1184112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308528000000",
    "number": "1558569525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7012 N COUNTRY CLUB PL",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731164409",
            "telephone_number": "405-397-0951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7012 N COUNTRY CLUB PL",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731164409",
            "telephone_number": "405-397-0951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EILERTS",
        "first_name": "COURTNEY",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "RD, LD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-11",
        "last_updated": "2011-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "OK",
            "license": "1521",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2011; 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.