Brandone Niccole Kozlowski, DTR

Primary specialty

Registered Dietetic TechnicianTaxonomy code 136A00000X

Practice address

4150 Clement St BLDG 203
San Francisco, CA 94121-1563

Phone

(415) 221-4810

NPI assigned

Sep 27, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Brandi Niccole Kozlowski Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1664236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664236800000",
    "number": "1285358002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 MOUNT RAINIER DR",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949031047",
            "telephone_number": "415-728-2478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4150 CLEMENT ST BLDG 203",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941211563",
            "telephone_number": "415-221-4810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOZLOWSKI",
        "first_name": "BRANDONE",
        "middle_name": "NICCOLE",
        "credential": "DTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-27",
        "last_updated": "2022-09-27",
        "certification_date": "2022-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "136A00000X",
            "taxonomy_group": "",
            "desc": "Dietetic Technician, Registered",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRANDI",
            "last_name": "KOZLOWSKI",
            "middle_name": "NICCOLE",
            "credential": "DTR",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Thomas Kowalski, O.T.
• Kristine Koyejo, DNP
• Kassandra Kozak
• Andry Koziol, NP
• Kali Anne Koziol, PA-C
• Kelli Kraal
• Sean D Krack
• Beth Krackov
• James Krackow, RN
• Aaron Kraemer

• Registered Dietetic Technician in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Registered Dietetic Technician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 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.

Verify at the official NPI Registry.