Active NPI
Krista Cowgill, MS, RD, LD, IFNCP
- Registered Dietitian
- Lakewood, OH
National Provider Identifier
1497465033
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- LD.09055
- Practice address
- 2044 Warren Rd
Lakewood, OH 44107-5841 - Phone
- (805) 403-9354
- NPI assigned
- Dec 5, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 164010489 | IL | |
| Registered Dietitian | 133V00000X | DT91543 | TX | |
| Registered Dietitian | 133V00000X | LD.09055 | OH | Primary |
Addresses
Primary practice location
2044 Warren Rd
Lakewood, OH 44107-5841
Mailing address
2044 Warren Rd
Lakewood, OH 44107-5841
Phone (805) 403-9354
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)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 164010489 | IL | MD | Registered Dietitian |
| LD.09055 | OH | MD | Registered Dietitian |
| DT91543 | TX | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Allara Medical Group PA | Past | Accepting new patients | |
| Nourish, Inc. | Dietitian, Registered | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Gynecology Physician
- New York, NY
- NPI 1700450558
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1670198400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1735689600000",
"number": "1497465033",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2044 WARREN RD",
"city": "LAKEWOOD",
"state": "OH",
"postal_code": "441075841",
"telephone_number": "805-403-9354"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2044 WARREN RD",
"city": "LAKEWOOD",
"state": "OH",
"postal_code": "441075841",
"telephone_number": "805-403-9354"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COWGILL",
"first_name": "KRISTA",
"credential": "MS, RD, LD, IFNCP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-12-05",
"last_updated": "2025-01-01",
"certification_date": "2025-01-01",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "IL",
"license": "164010489",
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "TX",
"license": "DT91543",
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "OH",
"license": "LD.09055",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lakewood, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.