Active NPI
Central Fitt, Inc
- Registered Dietitian
- Edmond, OK
National Provider Identifier
1972771616
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 1530
- Legal business name
- CENTRAL FITT, INC
- Practice address
- 2010 S Broadway
Edmond, OK 73013-4019 - Phone
- (405) 503-2759
- Fax
- (405) 330-9921
- NPI assigned
- Feb 15, 2008
- 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
- Stacy Dawn Buzan, RD, LD
- Title
- Registered Dietitian,Vice-President
- Phone
- (405) 503-2759
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 |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 1530 | OK | Primary |
Addresses
Primary practice location
2010 S Broadway
Edmond, OK 73013-4019
Mailing address
2010 S Broadway
Edmond, OK 73013-4019
Phone (405) 503-2759
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669651188 | Other | OK | NPI--INDIVIDUAL |
National Provider Directory
National Provider DirectoryLocations
2010 S Broadway
Edmond, OK 73013
Phone (405) 503-2758
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1203033600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1203033600000",
"number": "1972771616",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2010 S BROADWAY",
"city": "EDMOND",
"state": "OK",
"postal_code": "730134019",
"telephone_number": "405-503-2759",
"fax_number": "405-330-9921"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2010 S BROADWAY",
"city": "EDMOND",
"state": "OK",
"postal_code": "730134019",
"telephone_number": "405-503-2759",
"fax_number": "405-330-9921"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CENTRAL FITT, INC",
"organizational_subpart": "NO",
"enumeration_date": "2008-02-15",
"last_updated": "2008-02-15",
"status": "A",
"authorized_official_last_name": "BUZAN",
"authorized_official_first_name": "STACY",
"authorized_official_middle_name": "DAWN",
"authorized_official_title_or_position": "REGISTERED DIETITIAN,VICE-PRESIDENT",
"authorized_official_telephone_number": "405-503-2759",
"authorized_official_credential": "RD, LD"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dietitian, Registered",
"state": "OK",
"license": "1530",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI--INDIVIDUAL",
"identifier": "1669651188",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Edmond, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.