Active NPI
Nicole Kapan
- Registered Dietitian
- Downingtown, PA
National Provider Identifier
1083538292
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- MED-NUTR-LIC-401
- Practice address
- 142 Wallace Ave # 105
Downingtown, PA 19335-2643 - Phone
- (602) 770-7611
- NPI assigned
- Aug 10, 2026
- Last updated
- Aug 10, 2026
- 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 | MED-NUTR-LIC-401 | MT | Primary |
Addresses
Primary practice location
142 Wallace Ave # 105
Downingtown, PA 19335-2643
Mailing address
1075 Mountain Meadow Rd
Libby, MT 59923-8284
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)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Andersons Nutrition | Dietitian, Registered | Current | Accepting new patients |
| Andersons Nutrition | Dietitian, Registered | Past | Accepting new patients |
Locations
1166 E Warner Rd
Ste 220
Gilbert, AZ 85296
Phone (623) 306-5832
142 Wallace Ave
#105
Downingtown, PA 19335
Phone (484) 872-2909
Organizations & group practices 2
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": "1786320000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786320000000",
"number": "1083538292",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1075 MOUNTAIN MEADOW RD",
"city": "LIBBY",
"state": "MT",
"postal_code": "599238284"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "142 WALLACE AVE # 105",
"city": "DOWNINGTOWN",
"state": "PA",
"postal_code": "193352643",
"telephone_number": "602-770-7611"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAPAN",
"first_name": "NICOLE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-08-10",
"last_updated": "2026-08-10",
"certification_date": "2026-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MT",
"license": "MED-NUTR-LIC-401",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Downingtown, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.