Active NPI
Janet Nowak, R.D.
- Registered Dietitian
- Sheridan, WY
National Provider Identifier
1033317037
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 37001017A
- Practice address
- 1898 Fort Road
Sheridan, WY 82801 - Phone
- (307) 672-3473
- NPI assigned
- Jul 11, 2007
- Last updated
- Jul 11, 2007
- Sex
- Female
- Sole proprietor
- No
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 | 37001017A | IN | Primary |
Addresses
Primary practice location
1898 Fort Road
Sheridan, WY 82801
Mailing address
321 Perrin Avenue
Lafayette, IN 47904
Phone (765) 742-6120
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37001017A | IN | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184112000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184112000000",
"number": "1033317037",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "321 PERRIN AVENUE",
"city": "LAFAYETTE",
"state": "IN",
"postal_code": "47904",
"telephone_number": "765-742-6120"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1898 FORT ROAD",
"city": "SHERIDAN",
"state": "WY",
"postal_code": "82801",
"telephone_number": "307-672-3473"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOWAK",
"first_name": "JANET",
"credential": "R.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-07-11",
"last_updated": "2007-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "IN",
"license": "37001017A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sheridan, WY
- Joanne Norris
- North Big Horn Hospital District (Big Horn Rehabilitation and Care Center)
- Northeast Wyoming Pediatric Associates, P.C.
- Northern Wyoming Mental Health Center, Inc. (Volunteers of America Northern Rockies)
- Timothy D. Nostrum, M.D.
- NP Healthcare, LLC (Clickslim)
- Nurish'D USA, Inc
- Nurturesphere Home Care LLC
- Michael P O'Brien
- Anne-Marie T Octavio, FNP-BC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.