Individual provider Active NPI

Katherine Ann Isacks, M.P.S., R.D.

  • Registered Dietitian
  • Wheat Ridge, CO
National Provider Identifier
1881875581
Registry record updated Nov 21, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Practice address
3555 Lutheran Pkwy
Suite 180
Wheat Ridge, CO 80033-6021
Phone
(303) 403-3604
Fax
(303) 425-2792
NPI assigned
Nov 21, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X Primary

Addresses

Primary practice location

3555 Lutheran Pkwy
Suite 180
Wheat Ridge, CO 80033-6021

Mailing address

3555 Lutheran Pkwy
Suite 180
Wheat Ridge, CO 80033-6021
Phone (303) 403-3604

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

NPI Registry JSON

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

{
    "created_epoch": "1195603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1195603200000",
    "number": "1881875581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3555 LUTHERAN PKWY",
            "address_2": "SUITE 180",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "800336021",
            "telephone_number": "303-403-3604",
            "fax_number": "303-425-2792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3555 LUTHERAN PKWY",
            "address_2": "SUITE 180",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "800336021",
            "telephone_number": "303-403-3604",
            "fax_number": "303-425-2792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISACKS",
        "first_name": "KATHERINE",
        "middle_name": "ANN",
        "credential": "M.P.S., R.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-21",
        "last_updated": "2007-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wheat Ridge, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2007; 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.