Active NPI
Sandra H Stuart, MS, RDN, CSSD, LD
- Sports Dietetics Nutrition Registered Dietitian
- Altus Afb, OK
National Provider Identifier
1912350877
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Dietetics Nutrition Registered Dietitian
- Practice address
- 301 N 1St St
Altus Afb, OK 73523-5004 - Phone
- (580) 481-5244
- NPI assigned
- Jul 15, 2016
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutritionist | 133N00000X | |||
| Registered Dietitian | 133V00000X | LD004221 | GA | |
| Sports Dietetics Nutrition Registered Dietitian | 133VN1501X | Primary |
Addresses
Primary practice location
301 N 1St St
Altus Afb, OK 73523-5004
Mailing address
301 N 1St St
Altus Afb, OK 73523-5004
Phone (580) 481-5244
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| LD004221 | Other | GA | STATE OF GEORGIA |
| 2775 | Other | OK | STATE OF OKLAHOMA |
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)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LD004221 | GA | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1468540800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695772800000",
"number": "1912350877",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 N 1ST ST",
"city": "ALTUS AFB",
"state": "OK",
"postal_code": "735235004",
"telephone_number": "580-481-5244"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 N 1ST ST",
"city": "ALTUS AFB",
"state": "OK",
"postal_code": "735235004",
"telephone_number": "580-481-5244"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STUART",
"first_name": "SANDRA",
"middle_name": "H",
"name_prefix": "Mrs.",
"credential": "MS, RDN, CSSD, LD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-07-15",
"last_updated": "2023-09-27",
"certification_date": "2022-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "133N00000X",
"taxonomy_group": "",
"desc": "Nutritionist",
"state": null,
"license": null,
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "GA",
"license": "LD004221",
"primary": false
},
{
"code": "133VN1501X",
"taxonomy_group": "",
"desc": "Dietitian, Registered, Nutrition, Sports Dietetics",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE OF GEORGIA",
"identifier": "LD004221",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE OF OKLAHOMA",
"identifier": "2775",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}Other providers in Altus Afb, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.