Active NPI
Julie Free, RDN/LDN
- Registered Dietitian
- Pawhuska, OK
National Provider Identifier
1821561465
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Practice address
- 715 Grandview Ave
Pawhuska, OK 74056-3201 - Phone
- (918) 287-5525
- NPI assigned
- Jan 7, 2019
- Last updated
- Jan 7, 2019
- 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 | Primary |
Addresses
Primary practice location
715 Grandview Ave
Pawhuska, OK 74056-3201
Mailing address
3200 E Indian Rd
Newkirk, OK 74647-7340
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| R080653797 | Other | OK | DRIVER'S LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| White Eagle Health Center | Current | Accepting new patients | |
| White Eagle Health Center | Current | Accepting new patients | |
| White Eagle Health Center | Past | Accepting new patients |
Locations
200 White Eagle Dr
Ponca City, OK 74601
Phone (580) 765-2501
Organizations & group practices 3
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.
-
- Clinic/Center
- Ponca City, OK
- NPI 1699875724
-
dba Hope and Recovery Center
- Substance Abuse Rehabilitation Facility
- Ponca City, OK
- NPI 1265271910
-
- Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
- Ponca City, OK
- NPI 1891999157
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1546819200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1546819200000",
"number": "1821561465",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3200 E INDIAN RD",
"city": "NEWKIRK",
"state": "OK",
"postal_code": "746477340"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "715 GRANDVIEW AVE",
"city": "PAWHUSKA",
"state": "OK",
"postal_code": "740563201",
"telephone_number": "918-287-5525"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FREE",
"first_name": "JULIE",
"credential": "RDN/LDN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-01-07",
"last_updated": "2019-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DRIVER'S LICENSE",
"identifier": "R080653797",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}Other providers in Pawhuska, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.