NPIMap

Organization Active NPI

Banister & Associates LLC

  • Metabolic Nutrition Registered Dietitian
  • Oklahoma City, OK
National Provider Identifier
1659593168
Registry record updated Jun 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Metabolic Nutrition Registered DietitianTaxonomy code 133VN1006X
License
251 Issued in OK
Legal business name
BANISTER & ASSOCIATES LLC
Practice address
10914 Hefner Pointe Dr Ste 304
Oklahoma City, OK 73120-5068
Phone
(405) 755-7561
Fax
(405) 755-7615
NPI assigned
May 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Carol Banister, RDLDNPI 1225061468
Title
Ownermanager
Phone
(405) 755-7561

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Metabolic Nutrition Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 133VN1006X 251 OK Primary

Addresses

Primary practice location

10914 Hefner Pointe Dr Ste 304
Oklahoma City, OK 73120-5068

Mailing address

10914 Hefner Pointe Dr Ste 304
Oklahoma City, OK 73120-5068
Phone (405) 755-7561

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070621000147 OK Part B Supplier - Clinic/Group Practice 4688773302 Receives reassigned benefits from 10 practitioners
Practice locations: Oklahoma City, OK

National Provider Directory

National Provider Directory

Locations

4200 W Memorial Rd
Ste 701
Oklahoma City, OK 73120
Phone (405) 755-7561

4200 W Memorial Rd
Ste 508
Oklahoma City, OK 73120
Phone (405) 755-7561

Practitioners & affiliated clinicians

Practitioners 17

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717459200000",
    "number": "1659593168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10914 HEFNER POINTE DR STE 304",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731205068",
            "telephone_number": "405-755-7561",
            "fax_number": "405-755-7615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10914 HEFNER POINTE DR STE 304",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731205068",
            "telephone_number": "405-755-7561",
            "fax_number": "405-755-7615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BANISTER & ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2024-06-04",
        "certification_date": "2024-06-04",
        "status": "A",
        "authorized_official_last_name": "BANISTER",
        "authorized_official_first_name": "CAROL",
        "authorized_official_title_or_position": "OWNERMANAGER",
        "authorized_official_telephone_number": "405-755-7561",
        "authorized_official_credential": "RDLD"
    },
    "taxonomies": [
        {
            "code": "133VN1006X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered, Nutrition, Metabolic",
            "state": "OK",
            "license": "251",
            "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 4, 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.