Active NPI
Melissa Wdowik, RDN
- Registered Dietitian
- Fort Collins, CO
National Provider Identifier
1720527112
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Practice address
- 1571 Campus Delivery
Colorado State University
Fort Collins, CO 80523-1571 - Phone
- (970) 491-1062
- NPI assigned
- Feb 17, 2017
- 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 | Primary |
Addresses
Primary practice location
1571 Campus Delivery
Colorado State University
Fort Collins, CO 80523-1571
Mailing address
1571 Campus Delivery
Colorado State University
Fort Collins, CO 80523-1571
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Colorado State University | 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.
-
- Registered Dietitian
- Fort Collins, CO
- NPI 1477085397
Dietitian, Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1487289600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1487289600000",
"number": "1720527112",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1571 CAMPUS DELIVERY",
"address_2": "COLORADO STATE UNIVERSITY",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805231571"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1571 CAMPUS DELIVERY",
"address_2": "COLORADO STATE UNIVERSITY",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805231571",
"telephone_number": "970-491-1062"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WDOWIK",
"first_name": "MELISSA",
"name_prefix": "Dr.",
"credential": "RDN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-02-17",
"last_updated": "2017-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Collins, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.