Individual provider Active NPI

Urmi Lakkad, CNS

  • Nutritionist
  • Rockville, MD
National Provider Identifier
1417612516
Registry record updated Nov 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
NutritionistTaxonomy code 133N00000X
License
DX5309 Issued in MD
Practice address
705 Rolling Fields Way
Rockville, MD 20850-5720
Phone
(301) 928-4390
NPI assigned
Nov 3, 2021
Last updated
Nov 3, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 3, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nutritionist 133N00000X DX5309 MD Primary

Addresses

Primary practice location

705 Rolling Fields Way
Rockville, MD 20850-5720

Mailing address

705 Rolling Fields Way
Rockville, MD 20850-5720
Phone (301) 928-4390

Other names 1

  • Urmi Kotadia Former name

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
Certified Nurse Specialist

State licenses

LicenseStateTypeSpecialty
DX5309MDMDNutritionist

NPI Registry JSON

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

{
    "created_epoch": "1635897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635897600000",
    "number": "1417612516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 ROLLING FIELDS WAY",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208505720",
            "telephone_number": "301-928-4390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 ROLLING FIELDS WAY",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208505720",
            "telephone_number": "301-928-4390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAKKAD",
        "first_name": "URMI",
        "credential": "CNS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-03",
        "last_updated": "2021-11-03",
        "certification_date": "2021-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "MD",
            "license": "DX5309",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "URMI",
            "last_name": "KOTADIA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Rockville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2021; 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.