Active NPI
The Weight Loss and Pain Clinic LLC
- Pediatric Nutrition Registered Dietitian
- Weatherford, OK
National Provider Identifier
1952031338
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nutrition Registered Dietitian
- Legal business name
- THE WEIGHT LOSS AND PAIN CLINIC LLC
- Practice address
- 1315 N Washington St
Weatherford, OK 73096-2443 - Phone
- (508) 309-2828
- NPI assigned
- Jun 16, 2022
- Last updated
- Jun 16, 2022
- 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
- Paula Hunnicutt, BCHHP
- Title
- Certified Nutritionist/Owner
- Phone
- (580) 309-2828
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nutrition Registered Dietitian | 133VN1004X | Primary |
Addresses
Primary practice location
1315 N Washington St
Weatherford, OK 73096-2443
Mailing address
1315 N Washington St
Weatherford, OK 73096-2443
Phone (580) 309-2828
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1111 | Medicaid | OK |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| FHIR URL | https://theweightlossandpainclinic.practicebetter.io | Direct |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Nutrition Education Nutritionist
- Custer City, OK
- NPI 1205583135
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1655337600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1655337600000",
"number": "1952031338",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1315 N WASHINGTON ST",
"city": "WEATHERFORD",
"state": "OK",
"postal_code": "730962443",
"telephone_number": "580-309-2828"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1315 N WASHINGTON ST",
"city": "WEATHERFORD",
"state": "OK",
"postal_code": "730962443",
"telephone_number": "508-309-2828"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THE WEIGHT LOSS AND PAIN CLINIC LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-06-16",
"last_updated": "2022-06-16",
"certification_date": "2022-06-16",
"status": "A",
"authorized_official_last_name": "HUNNICUTT",
"authorized_official_first_name": "PAULA",
"authorized_official_title_or_position": "CERTIFIED NUTRITIONIST/OWNER",
"authorized_official_telephone_number": "580-309-2828",
"authorized_official_credential": "BCHHP"
},
"taxonomies": [
{
"code": "133VN1004X",
"taxonomy_group": "",
"desc": "Dietitian, Registered, Nutrition, Pediatric",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1111",
"state": "OK"
}
],
"endpoints": [
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://theweightlossandpainclinic.practicebetter.io",
"affiliation": "N",
"endpointDescription": "Practicebetter",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"contentOtherDescription": "PDF",
"address_1": "1315 N Washington St",
"city": "Weatherford",
"state": "OK",
"country_code": "US",
"postal_code": "730962443",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Weatherford, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.