Active NPI
Catherine Ann Gray, MS,RD/LD
- Registered Dietitian
- Lawton, OK
National Provider Identifier
1588920086
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 467
- Practice address
- 595 Water Ski Dr
Lawton, OK 73501-5535 - Phone
- (580) 250-0700
- NPI assigned
- Apr 9, 2012
- Last updated
- Apr 9, 2012
- 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 |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 467 | OK | Primary |
Addresses
Primary practice location
595 Water Ski Dr
Lawton, OK 73501-5535
Mailing address
595 Water Ski Dr
Lawton, OK 73501-5535
Phone (580) 250-0700
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 467 | OK | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1333929600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1333929600000",
"number": "1588920086",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "595 WATER SKI DR",
"city": "LAWTON",
"state": "OK",
"postal_code": "735015535",
"telephone_number": "580-250-0700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "595 WATER SKI DR",
"city": "LAWTON",
"state": "OK",
"postal_code": "735015535",
"telephone_number": "580-250-0700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAY",
"first_name": "CATHERINE",
"middle_name": "ANN",
"credential": "MS,RD/LD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-04-09",
"last_updated": "2012-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "OK",
"license": "467",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lawton, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.