Nancy E. Derkowski

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Practice address

1401 Churchill St
Waupaca, WI 54981-2027

Phone

(715) 258-8131

NPI assigned

Oct 24, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1224806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1224806400000",
    "number": "1801049648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N3579 WOODFIELD CT",
            "city": "WAUPACA",
            "state": "WI",
            "postal_code": "549818524",
            "telephone_number": "715-258-9772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 CHURCHILL ST",
            "city": "WAUPACA",
            "state": "WI",
            "postal_code": "549812027",
            "telephone_number": "715-258-8131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DERKOWSKI",
        "first_name": "NANCY",
        "middle_name": "E.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-24",
        "last_updated": "2008-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tracy Marie Darnutzer, OTR
• Amanda Debauche, OTR
• Den Services, Inc.
• Robert Dent, MD
• Debra Deporter
• Francesca L Detrana, DO
• Charles H Dinkel, RPH
• Samuel J Docksey, DO
• Stephanie Miller Doine, FNP APNP
• Susan Dorsett

• Registered Dietitian in Waupaca, WI
• Providers in Waupaca, WI by specialty
• Registered Dietitian in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2008; 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.