IndividualActive
Charles Hewitt
NPI 1316612906 · Sports Dietetics Nutrition Registered Dietitian · Apo
Provider details
- NPI number
- 1316612906
- Entity type
- Individual
- Primary specialty
- Sports Dietetics Nutrition Registered DietitianDietary & Nutritional Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- 2021 (OK)
Specialties & taxonomies
Dietary & Nutritional Service Providers
Profile Score
Established profile(55/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
71 Medical Group
Apo, 73705
Phone: (580) 213-6751
Approximate (ZIP-level) locationGet directions
Mailing address
1517 S Ashton Ave
Stillwater, OK 74074-1877
Registry dates
- Enumerated
- 2021-08-16
- Last updated
- 2021-08-16
- Certified
- 2021-07-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.