Active NPI
Adriane Stein Kozlovsky, M.S., R.D., L.D.
- Registered Dietitian
- Baltimore, MD
National Provider Identifier
1053577007
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- D00264
- Practice address
- 3301 Lee CT
Baltimore, MD 21208-4402 - Phone
- (443) 804-8996
- NPI assigned
- Jul 30, 2008
- 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 | D00264 | MD | Primary |
Addresses
Primary practice location
3301 Lee CT
Baltimore, MD 21208-4402
Mailing address
3301 Lee CT
Baltimore, MD 21208-4402
Phone (443) 804-8996
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| F625 | Other | MD | CAREFIRST BLUE CHOICE |
| 04NUAS | Other | MD | CAREFIRST BLUE CROSS BLUE SHIELD |
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 |
|---|---|---|---|
| D00264 | MD | 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": "1217376000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715126400000",
"number": "1053577007",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3301 LEE CT",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212084402",
"telephone_number": "443-804-8996"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3301 LEE CT",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212084402",
"telephone_number": "443-804-8996"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOZLOVSKY",
"first_name": "ADRIANE",
"middle_name": "STEIN",
"name_prefix": "Mrs.",
"credential": "M.S., R.D., L.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-07-30",
"last_updated": "2024-05-08",
"certification_date": "2024-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MD",
"license": "D00264",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST BLUE CHOICE",
"identifier": "F625",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST BLUE CROSS BLUE SHIELD",
"identifier": "04NUAS",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 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.