Organization Active NPI

Synergy Nutrition Counseling

  • Registered Dietitian
  • Colorado Springs, CO
National Provider Identifier
1023628674
Registry record updated Aug 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Legal business name
SYNERGY NUTRITION COUNSELING
Practice address
2035 Bula Dr
Colorado Springs, CO 80915-1456
Phone
(612) 367-6572
NPI assigned
Aug 7, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2020

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

Authorized official

Name
Angelica Anderson, MS, RDN, LDNPI 1447860093
Title
Co-Founder
Phone
(612) 367-6572

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
Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 133V00000X Primary

Addresses

Primary practice location

2035 Bula Dr
Colorado Springs, CO 80915-1456

Mailing address

2035 Bula Dr
Colorado Springs, CO 80915-1456

Other practice location 1

700 Kelsey Ave Apt 109
Clearwater, MN 55320-4548
Phone (612) 367-6572

National Provider Directory

National Provider Directory

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": "1596758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1596758400000",
    "number": "1023628674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2035 BULA DR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809151456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2035 BULA DR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809151456",
            "telephone_number": "612-367-6572"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "700 Kelsey Ave Apt 109",
            "address_purpose": "LOCATION",
            "city": "Clearwater",
            "state": "MN",
            "postal_code": "553204548",
            "country_code": "US",
            "telephone_number": "612-367-6572",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SYNERGY NUTRITION COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-07",
        "last_updated": "2020-08-07",
        "certification_date": "2020-08-07",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "ANGELICA",
        "authorized_official_title_or_position": "CO-FOUNDER",
        "authorized_official_telephone_number": "612-367-6572",
        "authorized_official_credential": "MS, RDN, LD"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2020; 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.