Active NPI
Community Action Development Corporation
- Nutritionist
- Sentinel, OK
National Provider Identifier
1891908851
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutritionist
- Legal business name
- COMMUNITY ACTION DEVELOPMENT CORPORATION
- Practice address
- 122 South 3Rd St
Sentinel, OK 73664 - Phone
- (580) 393-2216
- Fax
- (580) 393-2214
- NPI assigned
- May 7, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Peggy Subia
- Title
- Project Director
- Phone
- (580) 393-2216
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutritionist | 133N00000X | OK | Primary |
Addresses
Primary practice location
122 South 3Rd St
Sentinel, OK 73664
Mailing address
122 South 3Rd St
Sentinel, OK 73664
Phone (580) 393-2216
Other names 1
- CADC-Nutrition
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178496000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1891908851",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "122 SOUTH 3RD ST",
"city": "SENTINEL",
"state": "OK",
"postal_code": "73664",
"telephone_number": "580-393-2216",
"fax_number": "580-393-2214"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "122 SOUTH 3RD ST",
"city": "SENTINEL",
"state": "OK",
"postal_code": "73664",
"telephone_number": "580-393-2216",
"fax_number": "580-393-2214"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COMMUNITY ACTION DEVELOPMENT CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-07",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "SUBIA",
"authorized_official_first_name": "PEGGY",
"authorized_official_title_or_position": "PROJECT DIRECTOR",
"authorized_official_telephone_number": "580-393-2216"
},
"taxonomies": [
{
"code": "133N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nutritionist",
"state": "OK",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "CADC-Nutrition",
"code": "4",
"type": "Former Legal Business Name"
}
]
}Other providers in Sentinel, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.