Organization Active NPI

Central Fitt, Inc

  • Registered Dietitian
  • Edmond, OK
National Provider Identifier
1972771616
Registry record updated Feb 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
1530 Issued in OK
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

Updated by the provider on Feb 15, 2008

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

Authorized official

Name
Stacy Dawn Buzan, RD, LDNPI 1669651188
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)CodeLicenseStatePrimary
Registered DietitianGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
1669651188OtherOKNPI--INDIVIDUAL

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.