KIMBERLY DAVIS, RD/LD, P.C., INC. NPI 1013151174

Clinic/Center in Norman, OK

NPI 1013151174 Organization Clinic/Center

About KIMBERLY DAVIS, RD/LD, P.C., INC.

Kimberly Davis, Rd/ld, P.c., Inc. is a provider established in Norman, Oklahoma specializing in clinic/center. The NPI number of Kimberly Davis, Rd/ld, P.c., Inc. is 1013151174 and was assigned on April 2009. The practitioner's primary taxonomy code is 261Q00000X. The provider is registered as an organization and their NPI record was last updated 13 years ago. The authorized official of this NPI record is Ms. Kimberly Dawn Davis-coniglio M.s., Rd/ld (Owner)

NPI

1013151174

Provider NameKIMBERLY DAVIS, RD/LD, P.C., INC.
Provider Location Address1414 N PORTER AVE NORMAN, OK 73071
Provider Mailing Address1414 N PORTER AVE NORMAN, OK 73071
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date04-20-2009
Last Update Date04-20-2009


Primary Taxonomy

Taxonomy Code261Q00000X
ClassificationClinic/Center
TypeAmbulatory Health Care Facilities
Taxonomy DescriptionA facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

Business Address

KIMBERLY DAVIS, RD/LD, P.C., INC.
1414 N PORTER AVE
NORMAN, OK
ZIP 73071
Phone: (405) 326-5403
Fax: (405) 217-3985

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Mailing Address

KIMBERLY DAVIS, RD/LD, P.C., INC.
1414 N PORTER AVE
NORMAN, OK
ZIP 73071
Phone: (405) 326-5403
Fax: (405) 217-3985



Authorized Official

Authorized Official NameMS. KIMBERLY DAWN DAVIS-CONIGLIO M.S., RD/LD
Authorized Official TitleOWNER
Authorized Official Phone(405) 326-5403

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.