Abby Mae Banks, RD
Individual provider Active NPI Registered Dietitian · Norman, OK
NPI 1780444331 · NPPES record last updated Mar 20, 2024
Key facts
- NPI
- 1780444331
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- License
- 1509 (OK)
- Practice address
- 3888 SE 56TH St
Norman, OK 73072-1035 - Phone
- (405) 742-8493
- NPI assigned
- Mar 20, 2024
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1509 | OK | MD | Occupational Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fay Nutrition | Dietitian, Registered | Past | Accepting new patients |
| Premiere Pediatrics PLLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 1509 | OK | Yes |
Addresses
Primary practice location
3888 SE 56TH St
Norman, OK 73072-1035
Mailing address
3888 SE 56TH St
Norman, OK 73072-1035
Phone (405) 742-8493
Other providers in Norman, OK
- Loren Beth Ballard
- Lydia Rene Ballard
- Bridget A. Ballenger
- Andrea Ballestero Diaz
- Bethany Banakos
- Brandon Banks
- Terrance Banner
- Jacob Bannet
- Brandon Banta
- Holly Banton
All providers in Norman, OK · Registered Dietitian in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 20, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.