Individual provider Active NPI

Maura Benton, MS, RDN

  • Registered Dietitian
  • Fort Collins, CO
National Provider Identifier
1033964390
Registry record updated Apr 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
86093118 Issued in CO
Practice address
321 Urban Prairie St Unit 5
Fort Collins, CO 80524-2695
Phone
(508) 341-1571
NPI assigned
Apr 20, 2024
Last updated
Apr 20, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 20, 2024

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 86093118 CO Primary

Addresses

Primary practice location

321 Urban Prairie St Unit 5
Fort Collins, CO 80524-2695

Mailing address

321 Urban Prairie St Unit 5
Fort Collins, CO 80524-2695
Phone (508) 341-1571

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251002000138 VT Practitioner - Registered Dietitian Or Nutrition Professional 6901302553 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2021
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Whole Health Nutrition, PLLCGroup PAC ID 9537382932, 6 clinicians

Practice addresses (Care Compare)

302 Mountain View Dr
Suite 101
Colchester, VT 05446-8081
Phone (802) 999-9207

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
86093118COMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Whole Health Nutrition, PLLC Dietitian, Registered CurrentSince Aug 4, 2025 Accepting new patients

Locations

302 Mountain View Dr
Ste 101
Colchester, VT 05446
Phone (802) 999-9207

Organizations & group practices 1

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": "1713571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713571200000",
    "number": "1033964390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 URBAN PRAIRIE ST UNIT 5",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805242695",
            "telephone_number": "508-341-1571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 URBAN PRAIRIE ST UNIT 5",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805242695",
            "telephone_number": "508-341-1571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENTON",
        "first_name": "MAURA",
        "credential": "MS, RDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-04-20",
        "last_updated": "2024-04-20",
        "certification_date": "2024-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "CO",
            "license": "86093118",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Collins, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2024; 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.