Active NPI
Stacy Lynn Cook, M.S., R.D./L.D., CDE
- Registered Dietitian
- Norman, OK
National Provider Identifier
1801193032
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 1479
- Practice address
- 1010 24TH Ave NW Ste 100
Norman, OK 73069-6488 - Phone
- (405) 801-4050
- NPI assigned
- Feb 24, 2011
- 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 | 1479 | OK | Primary |
Addresses
Primary practice location
1010 24TH Ave NW Ste 100
Norman, OK 73069-6488
Mailing address
1804 Quail Run
Newcastle, OK 73065-5831
Phone (405) 226-0960
Other practice location 1
2318 SE 44th St.
Newcastle, OK 73065-5831
Phone (405) 226-0960
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| OKAAA1577 | Other | OK | MEDICARE PTAN |
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 |
|---|---|---|---|
| 1479 | OK | MD | Hearing Instrument Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1298505600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1801193032",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1804 QUAIL RUN",
"city": "NEWCASTLE",
"state": "OK",
"postal_code": "730655831",
"telephone_number": "405-226-0960"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1010 24TH AVE NW STE 100",
"city": "NORMAN",
"state": "OK",
"postal_code": "730696488",
"telephone_number": "405-801-4050"
}
],
"practiceLocations": [
{
"address_1": "2318 SE 44th St.",
"address_purpose": "LOCATION",
"city": "Newcastle",
"state": "OK",
"postal_code": "730655831",
"country_code": "US",
"telephone_number": "405-226-0960",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "COOK",
"first_name": "STACY",
"middle_name": "LYNN",
"name_prefix": "Mrs.",
"credential": "M.S., R.D./L.D., CDE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-02-24",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "OK",
"license": "1479",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "OKAAA1577",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}Other providers in Norman, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.