Individual provider Active NPI

Natalie Nicole Koch, RD, LDN

  • Registered Dietitian
  • Abington, PA
National Provider Identifier
1952001604
Registry record updated Mar 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
DN007952 Issued in PA
Practice address
1523 Edge Hill Rd
Abington, PA 19001-2609
Phone
(267) 982-4352
NPI assigned
Mar 9, 2023
Last updated
Mar 9, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2023

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 DN007952 PA Primary

Addresses

Primary practice location

1523 Edge Hill Rd
Abington, PA 19001-2609

Mailing address

742 Buttonwood Ave
Langhorne, PA 19047-5905
Phone (215) 539-0977

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231004003652 PA Practitioner - Registered Dietitian Or Nutrition Professional 2365897790 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Primary Prevention Center PLLCGroup PAC ID 6103298443, 2 clinicians

Practice addresses (Care Compare)

638 Newtown Yardley Rd
Suite G
Newtown, PA 18940-1758
Phone (267) 443-7770

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Klasik Nutrition Dietitian, Registered CurrentSince Mar 12, 2023 Accepting new patients
Primary Prevention Center PLLC CurrentSince Aug 21, 2023 Accepting new patients
Nourish, Inc. Dietitian, Registered Past Accepting new patients

Locations

638 Newtown Yardley Rd
Ste G
Newtown, PA 18940
Phone (267) 443-7770

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1678320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678320000000",
    "number": "1952001604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "742 BUTTONWOOD AVE",
            "city": "LANGHORNE",
            "state": "PA",
            "postal_code": "190475905",
            "telephone_number": "215-539-0977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1523 EDGE HILL RD",
            "city": "ABINGTON",
            "state": "PA",
            "postal_code": "190012609",
            "telephone_number": "267-982-4352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOCH",
        "first_name": "NATALIE",
        "middle_name": "NICOLE",
        "credential": "RD, LDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-09",
        "last_updated": "2023-03-09",
        "certification_date": "2023-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "PA",
            "license": "DN007952",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Abington, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.