Sara Maureen Kosick, MASTER NUTRITION THE

Primary specialty

NutritionistTaxonomy code 133N00000X

Practice address

2955 E 1St Ave Ste. 200
Puravida
Denver, CO 80206

Phone

(303) 999-2934

NPI assigned

Apr 18, 2012

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

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": "1334707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334707200000",
    "number": "1295092039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2955 E 1ST AVE STE. 200",
            "address_2": "PURAVIDA",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "80206",
            "telephone_number": "303-999-2934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2955 E 1ST AVE STE. 200",
            "address_2": "PURAVIDA",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "80206",
            "telephone_number": "303-999-2934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOSICK",
        "first_name": "SARA",
        "middle_name": "MAUREEN",
        "name_prefix": "Mrs.",
        "credential": "MASTER NUTRITION THE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-18",
        "last_updated": "2012-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nancilee Patrice Korth, LPC
• Daniel U Kortsch, MD
• Warren J. Kortz, M.D.
• Marlys A Kos
• Brent K Kose
• Emily Kosirog, PHARMD
• Olivia Kosky, M.A., CCC-SLP
• Matthew Koslow, M.D.
• Alison Grace Kosmacki, MD
• Monica Kosmicki, LPN

• Nutritionist in Denver, CO
• Providers in Denver, CO by specialty
• Nutritionist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2012; 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.