Bedelia Colleen Nowak, R.D.

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

CDR#00850631 Issued in NY

Practice address

256 Snell Rd
Elmira, NY 14901

Phone

(607) 529-3388

NPI assigned

May 4, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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)

Enrolled

State licenses

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1396957288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1",
            "address_2": "256 SNELL ROAD",
            "city": "CHEMUNG",
            "state": "NY",
            "postal_code": "148250001",
            "telephone_number": "607-529-3388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "256 SNELL RD",
            "city": "ELMIRA",
            "state": "NY",
            "postal_code": "14901",
            "telephone_number": "607-529-3388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOWAK",
        "first_name": "BEDELIA",
        "middle_name": "COLLEEN",
        "name_prefix": "Ms.",
        "credential": "R.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NY",
            "license": "CDR#00850631",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan N Northrup
• Michelle Norton
• Robert Novak
• Heather Ann Novotny, PA-C
• John J Novotny, MD
• Valerie Ann Nucera, BSN
• Luciano Adolfo Nunez Bragayrac, M.D.
• Nutrition Clinic
• Nutrition Service of Upstate New York, LLC
• Ny Urgent Care Practice, P.C. (Five Star Urgent Care Big Flats)

• Registered Dietitian in Elmira, NY
• Providers in Elmira, NY by specialty
• Registered Dietitian in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.