Active NPI
Stacy Dawn Buzan, RD, LD
- Registered Dietitian
- Edmond, OK
National Provider Identifier
1669651188
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 1530
- Practice address
- 2010 S Broadway
Edmond, OK 73013-4019 - Phone
- (405) 503-2758
- Fax
- (405) 330-9921
- NPI assigned
- Nov 1, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 1530 | OK | Primary |
Addresses
Primary practice location
2010 S Broadway
Edmond, OK 73013-4019
Mailing address
2010 S Broadway
Edmond, OK 73013-4019
Phone (405) 503-2758
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Fitt, 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": "1193875200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1193875200000",
"number": "1669651188",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2010 S BROADWAY",
"city": "EDMOND",
"state": "OK",
"postal_code": "730134019",
"telephone_number": "405-503-2758",
"fax_number": "405-330-9921"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2010 S BROADWAY",
"city": "EDMOND",
"state": "OK",
"postal_code": "730134019",
"telephone_number": "405-503-2758",
"fax_number": "405-330-9921"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUZAN",
"first_name": "STACY",
"middle_name": "DAWN",
"credential": "RD, LD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-11-01",
"last_updated": "2007-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "OK",
"license": "1530",
"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 Nov 1, 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.