Active NPI
Natalie Louise Polei, RD
- Registered Dietitian
- Spearfish, SD
National Provider Identifier
1699384214
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 0720
- Practice address
- 1445 North Ave
Spearfish, SD 57783-1552 - Phone
- (605) 644-4170
- Fax
- (605) 644-4198
- NPI assigned
- Jul 29, 2020
- 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 | 0720 | SD | Primary |
Addresses
Primary practice location
1445 North Ave
Spearfish, SD 57783-1552
Mailing address
1445 North Ave
Spearfish, SD 57783-1552
Phone (605) 644-4170
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0720 | SD | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1595980800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1595980800000",
"number": "1699384214",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1445 NORTH AVE",
"city": "SPEARFISH",
"state": "SD",
"postal_code": "577831552",
"telephone_number": "605-644-4170",
"fax_number": "605-644-4198"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1445 NORTH AVE",
"city": "SPEARFISH",
"state": "SD",
"postal_code": "577831552",
"telephone_number": "605-644-4170",
"fax_number": "605-644-4198"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POLEI",
"first_name": "NATALIE",
"middle_name": "LOUISE",
"credential": "RD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-07-29",
"last_updated": "2020-07-29",
"certification_date": "2020-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "SD",
"license": "0720",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Spearfish, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.