Organization Active NPI

The Weight Loss and Pain Clinic LLC

  • Pediatric Nutrition Registered Dietitian
  • Weatherford, OK
National Provider Identifier
1952031338
Registry record updated Jun 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nutrition Registered DietitianTaxonomy code 133VN1004X
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, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2022

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

Authorized official

Name
Paula Hunnicutt, BCHHPNPI 1205583135
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1111MedicaidOK

Electronic endpoints 1

TypeEndpointUseAffiliation
FHIR URL https://theweightlossandpainclinic.practicebetter.io Direct

National Provider Directory

National Provider Directory

Practitioners & 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.

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.

Verify at the official NPI Registry.