Active NPI
Krystal Ballard
- Registered Dietitian
- Oklahoma City, OK
National Provider Identifier
1831424944
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- NO4871
- Practice address
- 1200 Everett Dr
BNP 603
Oklahoma City, OK 73104-5047 - Phone
- (405) 271-5501
- NPI assigned
- Oct 7, 2009
- 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 | NO4871 | FL | Primary |
Addresses
Primary practice location
1200 Everett Dr
BNP 603
Oklahoma City, OK 73104-5047
Mailing address
1200 Everett Dr
BNP 603
Oklahoma City, OK 73104-5047
Phone (405) 271-5501
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 and National Provider Directory roles.
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1679 | OK | MD | Clinical Social Worker |
| NO4871 | FL | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sodexo Operations LLC | Dietitian, Registered | Past | Accepting new patients |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1254873600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1254873600000",
"number": "1831424944",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 EVERETT DR",
"address_2": "BNP 603",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731045047",
"telephone_number": "405-271-5501"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 EVERETT DR",
"address_2": "BNP 603",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731045047",
"telephone_number": "405-271-5501"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BALLARD",
"first_name": "KRYSTAL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-10-07",
"last_updated": "2009-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "FL",
"license": "NO4871",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.