Active NPI
Amy Rae See, RD/LD
- Registered Dietitian
- Fort Sill, OK
National Provider Identifier
1629152863
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 1321
- Practice address
- 4301 Mow-Way Road
Fort Sill, OK 73503 - Phone
- (580) 458-2823
- NPI assigned
- Oct 24, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 1321 | OK | Primary |
| Registered Dietitian | 133V00000X | 2005020191 | MO |
Addresses
Primary practice location
4301 Mow-Way Road
Fort Sill, OK 73503
Mailing address
2419 SW 45TH Street
Lawton, OK 73505
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 |
|---|---|---|---|
| 1321 | OK | MD | Clinical Psychologist |
| 2005020191 | MO | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nourish, Inc. | Dietitian, Registered | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161648000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1629152863",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2419 SW 45TH STREET",
"city": "LAWTON",
"state": "OK",
"postal_code": "73505"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4301 MOW-WAY ROAD",
"city": "FORT SILL",
"state": "OK",
"postal_code": "73503",
"telephone_number": "580-458-2823"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEE",
"first_name": "AMY",
"middle_name": "RAE",
"credential": "RD/LD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-24",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "OK",
"license": "1321",
"primary": true
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MO",
"license": "2005020191",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Sill, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.