Active NPI
Nancy Pudwill, RD
- Registered Dietitian
- Denver, CO
National Provider Identifier
1043305584
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 377167
- Practice address
- 950 S. Cherry St
#412
Denver, CO 80246 - Phone
- (303) 550-6390
- Fax
- (303) 758-3872
- NPI assigned
- Oct 3, 2006
- Last updated
- Jul 21, 2022
- 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 | 377167 | NU | Primary |
Addresses
Primary practice location
950 S. Cherry St
#412
Denver, CO 80246
Mailing address
950 S. Cherry St
#412
Denver, CO 80246
Phone (303) 550-6390
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nutrition Connection, Inc | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1043305584",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "950 S. CHERRY ST",
"address_2": "#412",
"city": "DENVER",
"state": "CO",
"postal_code": "80246",
"telephone_number": "303-550-6390",
"fax_number": "303-758-3872"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "950 S. CHERRY ST",
"address_2": "#412",
"city": "DENVER",
"state": "CO",
"postal_code": "80246",
"telephone_number": "303-550-6390",
"fax_number": "303-758-3872"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PUDWILL",
"first_name": "NANCY",
"credential": "RD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-03",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NU",
"license": "377167",
"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 Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.