Active NPI
Katherine Nowakowski, MS, RD, LD
- Registered Dietitian
- Greer, SC
National Provider Identifier
1376923599
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 1060959
- Practice address
- 115 Quincy Dr
Greer, SC 29650-2643 - Phone
- (703) 989-0093
- NPI assigned
- Jun 3, 2015
- 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 | 1060959 | VA | Primary |
Addresses
Primary practice location
115 Quincy Dr
Greer, SC 29650-2643
Mailing address
115 Quincy Dr
Greer, SC 29650-2643
Phone (703) 989-0093
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)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1060959 | VA | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1433289600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1562544000000",
"number": "1376923599",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "115 QUINCY DR",
"city": "GREER",
"state": "SC",
"postal_code": "296502643",
"telephone_number": "703-989-0093"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "115 QUINCY DR",
"city": "GREER",
"state": "SC",
"postal_code": "296502643",
"telephone_number": "703-989-0093"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOWAKOWSKI",
"first_name": "KATHERINE",
"credential": "MS, RD, LD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-06-03",
"last_updated": "2019-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "VA",
"license": "1060959",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greer, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.