Lauren Alison Northcutt, MS, RD/LD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

1876 Issued in OK

Practice address

3500 NW 164TH Ter
Edmond, OK 73013-9471

Phone

(405) 401-6880

NPI assigned

Jan 18, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Specialty

Registered Dietitian Or Nutrition Professional

Education

Other, 2012

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Group practices

Banister and Associates, LLCGroup PAC ID 4688773302, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

Practice roles

Locations

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.

• Banister & Associates LLC

  • Metabolic Nutrition Registered Dietitian
  • Oklahoma City, OK
  • NPI 1659593168
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1516233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516233600000",
    "number": "1891203337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 NW 164TH TER",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730139471",
            "telephone_number": "405-401-6880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 NW 164TH TER",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730139471",
            "telephone_number": "405-401-6880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NORTHCUTT",
        "first_name": "LAUREN",
        "middle_name": "ALISON",
        "credential": "MS, RD/LD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-18",
        "last_updated": "2018-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "OK",
            "license": "1876",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• North Canadian River Healthcare LLC
• North Oklahoma County Mental Health Center
• North Oklahoma County Mental Health Center
• North Park Family Dental
• Caysie North
• Jolina N Northington, NP
• Northland Hearing Centers, Inc.
• Northwest Physical Therapy Clinic Inc
• Miriam Nosrati, DDS
• Braxton Lane Nottingham, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2018; 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.