Emma Black, MS, RDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Practice address

1415 Dellwood Ave
Boulder, CO 80304-3125

Phone

(843) 822-8040

NPI assigned

Feb 28, 2025

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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

{
    "created_epoch": "1740700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747180800000",
    "number": "1033916887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 PINEWOOD DR",
            "city": "LYONS",
            "state": "CO",
            "postal_code": "805408131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 DELLWOOD AVE",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803043125",
            "telephone_number": "843-822-8040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACK",
        "first_name": "EMMA",
        "credential": "MS, RDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-28",
        "last_updated": "2025-05-14",
        "certification_date": "2025-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "CO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bison Circle Collaborative
• Taylor Bister
• Sara Bitting, LCSW
• Randal Dean Bjerke, M.D.
• Emily Black
• Johanna Catherine Black, MSW, LCSW
• Sandra Black
• Tracey Black
• Adriana Blacker
• Juliet Blackfeather

• Registered Dietitian in Boulder, CO
• Providers in Boulder, CO by specialty
• Registered Dietitian in Colorado

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

Verify at the official NPI Registry.