Individual provider Active NPI

Natalie Estelle Nowak, RD

  • Registered Dietitian
  • Denver, CO
National Provider Identifier
1023676665
Registry record updated Jun 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
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

Updated by the provider on Jun 11, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 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, SC3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
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 SurgeryPractitioner - Colorectal Surgery (Proctology) 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.

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.

Verify at the official NPI Registry.