Active NPI
Brittany Lynn Burk, MS, RDN, LD, CNSC
- Registered Dietitian
- Midwest City, OK
National Provider Identifier
1780158568
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 2174
- Practice address
- 2825 Parklawn Dr
Midwest City, OK 73110-4201 - Phone
- (405) 610-8590
- NPI assigned
- Jan 15, 2019
- 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 | 2174 | OK | Primary |
Addresses
Primary practice location
2825 Parklawn Dr
Midwest City, OK 73110-4201
Mailing address
4512 Applegate Dr
Moore, OK 73160-1253
Phone (216) 849-0401
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2174 | OK | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1547510400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1547510400000",
"number": "1780158568",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4512 APPLEGATE DR",
"city": "MOORE",
"state": "OK",
"postal_code": "731601253",
"telephone_number": "216-849-0401"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2825 PARKLAWN DR",
"city": "MIDWEST CITY",
"state": "OK",
"postal_code": "731104201",
"telephone_number": "405-610-8590"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURK",
"first_name": "BRITTANY",
"middle_name": "LYNN",
"credential": "MS, RDN, LD, CNSC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-01-15",
"last_updated": "2019-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "OK",
"license": "2174",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Midwest City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.