Active NPI
Karen M Funderburg, MS, RDN/LD
- Registered Dietitian
- Warr Acres, OK
National Provider Identifier
1679566566
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- LD 190
- Practice address
- 5601 NW 72ND St
Ste 200
Warr Acres, OK 73132-5932 - Phone
- (405) 603-1941
- Fax
- (405) 603-1942
- NPI assigned
- Aug 25, 2005
- 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 | LD 190 | OK | Primary |
Addresses
Primary practice location
5601 NW 72ND St
Ste 200
Warr Acres, OK 73132-5932
Mailing address
5601 NW 72ND St
Ste 200
Warr Acres, OK 73132-5931
Phone (405) 603-1941
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 |
|---|---|---|---|
| LD 190 | OK | MD | Registered Dietitian |
| 190 | OK | MD | Recreation Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124928000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1481241600000",
"number": "1679566566",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5601 NW 72ND ST",
"address_2": "STE 200",
"city": "WARR ACRES",
"state": "OK",
"postal_code": "731325931",
"telephone_number": "405-603-1941",
"fax_number": "405-603-1942"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5601 NW 72ND ST",
"address_2": "STE 200",
"city": "WARR ACRES",
"state": "OK",
"postal_code": "731325932",
"telephone_number": "405-603-1941",
"fax_number": "405-603-1942"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FUNDERBURG",
"first_name": "KAREN",
"middle_name": "M",
"name_prefix": "Mrs.",
"credential": "MS, RDN/LD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-08-25",
"last_updated": "2016-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "OK",
"license": "LD 190",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Warr Acres, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.