Individual provider Active NPI

Danielle Nanke, RDN, LD

  • Registered Dietitian
  • Sioux Center, IA
National Provider Identifier
1265029334
Registry record updated Dec 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
095069 Issued in IA
Practice address
1241 1St Ave SE
Sioux Center, IA 51250-1203
Phone
(563) 564-0593
NPI assigned
Dec 23, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2020

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 095069 IA Primary

Addresses

Primary practice location

1241 1St Ave SE
Sioux Center, IA 51250-1203

Mailing address

1241 1St Ave SE
Sioux Center, IA 51250-1203
Phone (563) 564-0593

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL danninanke6@gmail.com Direct

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

State licenses

LicenseStateTypeSpecialty
095069IAMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Hospital, Iowa City, Iowa Current Accepting new patients

Interoperability endpoints

  • Direct secure messaging: daniellenanke@mic.allscriptsdirect.net

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": "1608681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608681600000",
    "number": "1265029334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1241 1ST AVE SE",
            "city": "SIOUX CENTER",
            "state": "IA",
            "postal_code": "512501203",
            "telephone_number": "563-564-0593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1241 1ST AVE SE",
            "city": "SIOUX CENTER",
            "state": "IA",
            "postal_code": "512501203",
            "telephone_number": "563-564-0593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NANKE",
        "first_name": "DANIELLE",
        "credential": "RDN, LD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-23",
        "last_updated": "2020-12-23",
        "certification_date": "2020-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "IA",
            "license": "095069",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "danninanke6@gmail.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1241 1st Ave SE",
            "city": "Sioux Center",
            "state": "IA",
            "country_code": "US",
            "postal_code": "512501203",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Sioux Center, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2020; 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.