Individual provider Active NPI

Kara Siedman, RD, CDE

  • Registered Dietitian
  • Lakewood, CO
National Provider Identifier
1114310703
Registry record updated Mar 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
1031734 Issued in NU
Practice address
3333 S Wadsworth Blvd
D-100
Lakewood, CO 80227-5122
Phone
(720) 454-0068
NPI assigned
Mar 6, 2015
Last updated
Mar 26, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 1031734 NU Primary

Addresses

Primary practice location

3333 S Wadsworth Blvd
D-100
Lakewood, CO 80227-5122

Mailing address

3333 S Wadsworth Blvd
D-100
Lakewood, CO 80227-5122
Phone (720) 454-0068

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

NPI Registry JSON

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

{
    "created_epoch": "1425600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427328000000",
    "number": "1114310703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3333 S WADSWORTH BLVD",
            "address_2": "D-100",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802275122",
            "telephone_number": "720-454-0068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3333 S WADSWORTH BLVD",
            "address_2": "D-100",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802275122",
            "telephone_number": "720-454-0068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIEDMAN",
        "first_name": "KARA",
        "credential": "RD, CDE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-06",
        "last_updated": "2015-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NU",
            "license": "1031734",
            "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 Mar 26, 2015; 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.