Organization Active NPI

Rocky Mountain Pediatric Nutrition LLC

  • Pediatric Nutrition Registered Dietitian
  • Denver, CO
National Provider Identifier
1003114174
Registry record updated Mar 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nutrition Registered DietitianTaxonomy code 133VN1004X
Legal business name
ROCKY MOUNTAIN PEDIATRIC NUTRITION LLC
Practice address
1776 S Jackson St
Suite 1007
Denver, CO 80210-3801
Phone
(303) 704-2298
Fax
(303) 777-5619
NPI assigned
Mar 14, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2011

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

Authorized official

Name
Mrs. Catherine Michelle Santangelo, RDNPI 1235302993
Title
Pediatric Dietitian
Phone
(303) 704-2298

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nutrition Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 133VN1004X Primary

Addresses

Primary practice location

1776 S Jackson St
Suite 1007
Denver, CO 80210-3801

Mailing address

1260 S York St
Denver, CO 80210-1913
Phone (303) 704-2298

National Provider Directory

National Provider Directory

Locations

1776 S Jackson St
Ste 1007
Denver, CO 80210
Phone (303) 778-8443

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1300060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300060800000",
    "number": "1003114174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1260 S YORK ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802101913",
            "telephone_number": "303-704-2298",
            "fax_number": "303-777-5619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1776 S JACKSON ST",
            "address_2": "SUITE 1007",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802103801",
            "telephone_number": "303-704-2298",
            "fax_number": "303-777-5619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCKY MOUNTAIN PEDIATRIC NUTRITION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-14",
        "last_updated": "2011-03-14",
        "status": "A",
        "authorized_official_last_name": "SANTANGELO",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "PEDIATRIC DIETITIAN",
        "authorized_official_telephone_number": "303-704-2298",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RD"
    },
    "taxonomies": [
        {
            "code": "133VN1004X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered, Nutrition, Pediatric",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2011; 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.