Gabrielle Mallozzi, NDTR

Primary specialty

Registered Dietetic TechnicianTaxonomy code 136A00000X

License

86378942

Practice address

777 Bannock St
Denver, CO 80204-4507

Phone

(913) 687-4886

NPI assigned

Sep 25, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

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": "1695600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731369600000",
    "number": "1831978485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1911 S JOSEPHINE ST APT 117",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802104393",
            "telephone_number": "913-687-4886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 BANNOCK ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802044507",
            "telephone_number": "913-687-4886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALLOZZI",
        "first_name": "GABRIELLE",
        "credential": "NDTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-25",
        "last_updated": "2024-11-12",
        "certification_date": "2024-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "136A00000X",
            "taxonomy_group": "",
            "desc": "Dietetic Technician, Registered",
            "state": null,
            "license": "86378942",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Justin Malkin, MA, NCC, EMDR, LPC
• Karen Mallah, PH.D.
• Stephanie Deblois Malliaris, MD
• Mallory Burck DDS, PLLC
• Christina Mallos
• Mark Mallozzi, MD
• Trisha Venkatraman Mallya, LPCC
• Abigail Malman, IBCLC, DOULA
• Sarah Malone, LPC
• Taylor Malone

• Registered Dietetic Technician in Denver, CO
• Providers in Denver, CO by specialty
• Registered Dietetic Technician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2024; 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.