Kacey Haycox, RD/DL

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

DT84642 Issued in TX

Practice address

101 Cedar Creek LN
Shawnee, OK 74801-7803

Phone

(719) 237-6770

NPI assigned

May 5, 2020

Last updated

Jul 19, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other names 1

• Kacey Chong Former name

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Specialty

Registered Dietitian Or Nutrition Professional

Education

University of Alabama School of Medicine, 2015

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• An Apple a Day Nutrition Counseling

  • Registered Dietitian
  • Shawnee, OK
  • NPI 1689472821

  Dietitian, Registered

  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1588636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721347200000",
    "number": "1881215531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 CEDAR CREEK LN",
            "city": "SHAWNEE",
            "state": "OK",
            "postal_code": "748017803",
            "telephone_number": "719-237-6770",
            "fax_number": "432-221-3096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 CEDAR CREEK LN",
            "city": "SHAWNEE",
            "state": "OK",
            "postal_code": "748017803",
            "telephone_number": "719-237-6770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYCOX",
        "first_name": "KACEY",
        "name_prefix": "Mrs.",
        "credential": "RD/DL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-05-05",
        "last_updated": "2024-07-19",
        "certification_date": "2024-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TX",
            "license": "DT84642",
            "primary": true
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KACEY",
            "last_name": "CHONG",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jordan Leigh Harvey
• Bethany Haskins
• Devon Hastings, BS
• Charles Earl Hawkins, LMFT
• Emily Marie Hawkins
• Melanie J Hayer
• Aaron Hayes, DPT
• Casey Ann Hayes, LPN
• Stephen Haynes
• Nanette Marie Hazelwood, BHRS

• Registered Dietitian in Shawnee, OK
• Providers in Shawnee, OK by specialty
• Registered Dietitian in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.