Active NPI
Natalie Estelle Nowak, RD
- Registered Dietitian
- Denver, CO
National Provider Identifier
1023676665
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 86068336
- Practice address
- 825 N Logan St
Denver, CO 80203-3114 - Phone
- (720) 772-7115
- NPI assigned
- May 29, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 86068336 | Primary |
Addresses
Primary practice location
825 N Logan St
Denver, CO 80203-3114
Mailing address
1596 Jackson St
Denver, CO 80206-1921
Phone (773) 322-9059
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC, GA, SC
Enrollment records 3
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170901000960 | NC | Practitioner - General Surgery | 2961785654 |
Reassigns benefits to 6 organizations 1 other NPI on this enrollment This NPI is an additional NPI on the enrollment |
| I20241109000140 | GA | Practitioner - General Surgery | 2961785654 |
Reassigns benefits to 1 organization 1 other NPI on this enrollment This NPI is an additional NPI on the enrollment |
| I20260217000358 | SC | Practitioner - General Surgery | 2961785654 |
Reassigns benefits to 1 organization 1 other NPI on this enrollment This NPI is an additional NPI on the enrollment |
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Surgery Physician
- Charlotte, NC
- NPI 1275893927
I20170901000960, I20241109000140, I20260217000358
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1559088000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560211200000",
"number": "1023676665",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1596 JACKSON ST",
"city": "DENVER",
"state": "CO",
"postal_code": "802061921",
"telephone_number": "773-322-9059"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "825 N LOGAN ST",
"city": "DENVER",
"state": "CO",
"postal_code": "802033114",
"telephone_number": "720-772-7115"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOWAK",
"first_name": "NATALIE",
"middle_name": "ESTELLE",
"credential": "RD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-05-29",
"last_updated": "2019-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dietitian, Registered",
"state": null,
"license": "86068336",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Denver, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.