Active NPI
Victoria Lee, MS, RDN, CLC
- Registered Dietitian
- Longmont, CO
National Provider Identifier
1023802915
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 1004589
- Practice address
- 515 Coffman St
Longmont, CO 80501-5455 - Phone
- (303) 413-7549
- NPI assigned
- Apr 7, 2025
- Last updated
- Apr 7, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 1004589 | CO | Primary |
Addresses
Primary practice location
515 Coffman St
Longmont, CO 80501-5455
Mailing address
640 S 41St St
Boulder, CO 80305-5915
Phone (262) 496-6740
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1004589 | CO | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1743984000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1743984000000",
"number": "1023802915",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "640 S 41ST ST",
"city": "BOULDER",
"state": "CO",
"postal_code": "803055915",
"telephone_number": "262-496-6740"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "515 COFFMAN ST",
"city": "LONGMONT",
"state": "CO",
"postal_code": "805015455",
"telephone_number": "303-413-7549"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "VICTORIA",
"credential": "MS, RDN, CLC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-04-07",
"last_updated": "2025-04-07",
"certification_date": "2025-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "CO",
"license": "1004589",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Longmont, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.