Active NPI
Steven Perry Fike, R.D. L.D,
- Registered Dietitian
- Amarillo, TX
National Provider Identifier
1750625000
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- DT0369
- Practice address
- 3709 Rutson Dr
Amarillo, TX 79109-3933 - Phone
- (806) 290-3029
- NPI assigned
- Nov 26, 2012
- Last updated
- Nov 26, 2012
- Sex
- Male
- 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 | DT0369 | TX | Primary |
Addresses
Primary practice location
3709 Rutson Dr
Amarillo, TX 79109-3933
Mailing address
3709 Rutson Dr
Amarillo, TX 79109-3933
Phone (806) 290-3029
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 654562 | Other | COMMISSION ON DIETETIC REGISTRATION | |
| DT03369 | Other | TX | TX BOARD OF EXAMINERS OF DIETITIANS LICENSCE NUMBER |
| 20720490 | Other | NATIONAL CERTIFICATION BOARD FOR DIABETES EDUCATORS |
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 |
|---|---|---|---|
| DT0369 | TX | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baptist St. Anthony's Hospital Corporation | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba BSA Health System
- Vascular & Interventional Radiology Physician
- Amarillo, TX
- NPI 1376510347
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1353888000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1353888000000",
"number": "1750625000",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3709 RUTSON DR",
"city": "AMARILLO",
"state": "TX",
"postal_code": "791093933",
"telephone_number": "806-290-3029"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3709 RUTSON DR",
"city": "AMARILLO",
"state": "TX",
"postal_code": "791093933",
"telephone_number": "806-290-3029"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FIKE",
"first_name": "STEVEN",
"middle_name": "PERRY",
"credential": "R.D. L.D,",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-11-26",
"last_updated": "2012-11-26",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "TX",
"license": "DT0369",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMMISSION ON DIETETIC REGISTRATION",
"identifier": "654562",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TX BOARD OF EXAMINERS OF DIETITIANS LICENSCE NUMBER",
"identifier": "DT03369",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NATIONAL CERTIFICATION BOARD FOR DIABETES EDUCATORS",
"identifier": "20720490",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Amarillo, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 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.