Active NPI
Natalie Jace Harris, RD
- Registered Dietitian
- Wauwatosa, WI
National Provider Identifier
1548565047
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 814855
- Practice address
- 2300 N Mayfair Rd
425
Wauwatosa, WI 53226-1505 - Phone
- (414) 727-4455
- NPI assigned
- Jan 14, 2011
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 814855 | WI | Primary |
Addresses
Primary practice location
2300 N Mayfair Rd
425
Wauwatosa, WI 53226-1505
Mailing address
928 W Wisconsin Ave
Oconomowoc, WI 53066-2625
Phone (262) 567-4653
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 814855 | WI | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Marjorie Nolan Cohn LLC | Dietitian, Registered | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1294963200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1294963200000",
"number": "1548565047",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "928 W WISCONSIN AVE",
"city": "OCONOMOWOC",
"state": "WI",
"postal_code": "530662625",
"telephone_number": "262-567-4653"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2300 N MAYFAIR RD",
"address_2": "425",
"city": "WAUWATOSA",
"state": "WI",
"postal_code": "532261505",
"telephone_number": "414-727-4455"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRIS",
"first_name": "NATALIE",
"middle_name": "JACE",
"credential": "RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-01-14",
"last_updated": "2011-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "WI",
"license": "814855",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wauwatosa, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.