Active NPI
Kristen Nawrocki, MS, RD, LDN
- Registered Dietitian
- Bear, DE
National Provider Identifier
1033757489
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- DN-0000647
- Practice address
- 416 Bergenia Loop
Bear, DE 19701-4882 - Phone
- (443) 866-4808
- NPI assigned
- Dec 17, 2019
- 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 | DN-0000647 | DE | Primary |
Addresses
Primary practice location
416 Bergenia Loop
Bear, DE 19701-4882
Mailing address
416 Bergenia Loop
Bear, DE 19701-4882
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DN-0000647 | Other | DE | DPR |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | home | Direct |
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN-0000647 | DE | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fay Nutrition | Dietitian, Registered | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1576540800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1576540800000",
"number": "1033757489",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "416 BERGENIA LOOP",
"city": "BEAR",
"state": "DE",
"postal_code": "197014882"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "416 BERGENIA LOOP",
"city": "BEAR",
"state": "DE",
"postal_code": "197014882",
"telephone_number": "443-866-4808"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NAWROCKI",
"first_name": "KRISTEN",
"credential": "MS, RD, LDN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-12-17",
"last_updated": "2019-12-17",
"certification_date": "2019-12-17",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "DE",
"license": "DN-0000647",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DPR",
"identifier": "DN-0000647",
"state": "DE"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "home",
"affiliation": "N",
"endpointDescription": "address",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "address",
"address_1": "416 Bergenia Loop",
"city": "Bear",
"state": "DE",
"country_code": "US",
"postal_code": "197014882",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Bear, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.