Individual provider Active NPI

Jessica Anne Sorci Galecki, CNS, LDN

  • Metabolic Nutrition Registered Dietitian
  • Lakewood, CO
National Provider Identifier
1033936679
Registry record updated Sep 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Metabolic Nutrition Registered DietitianTaxonomy code 133VN1006X
License
DX6854 Issued in MD
Practice address
12157 W Cedar Dr Ste 200
Lakewood, CO 80228-2105
Phone
(303) 877-0194
NPI assigned
Sep 24, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 24, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Metabolic Nutrition Registered Dietitian 133VN1006X DX6854 MD Primary

Addresses

Primary practice location

12157 W Cedar Dr Ste 200
Lakewood, CO 80228-2105

Mailing address

12157 W Cedar Dr Ste 200
Lakewood, CO 80228-2105
Phone (303) 877-0194

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
Certified Nurse Specialist

State licenses

LicenseStateTypeSpecialty
DX6854MDMDMetabolic Nutrition Registered Dietitian

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1727136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727136000000",
    "number": "1033936679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12157 W CEDAR DR STE 200",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802282105",
            "telephone_number": "303-877-0194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12157 W CEDAR DR STE 200",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802282105",
            "telephone_number": "303-877-0194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SORCI GALECKI",
        "first_name": "JESSICA",
        "middle_name": "ANNE",
        "credential": "CNS, LDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-09-24",
        "last_updated": "2024-09-24",
        "certification_date": "2024-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133VN1006X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Metabolic",
            "state": "MD",
            "license": "DX6854",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.