Individual provider Active NPI

Swapnaja B Kirunge

  • Registered Dietitian
  • Longmont, CO
National Provider Identifier
1043099617
Registry record updated Jan 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
86416063 Issued in CO
Practice address
1420 Renaissance Dr Apt R308
Longmont, CO 80503-7064
Phone
(720) 378-0053
NPI assigned
Sep 25, 2023
Last updated
Jan 22, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2025

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 86416063 CO Primary

Addresses

Primary practice location

1420 Renaissance Dr Apt R308
Longmont, CO 80503-7064

Mailing address

1420 Renaissance Dr Apt R308
Longmont, CO 80503-7064
Phone (720) 378-0053

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20241218001659 TX Practitioner - Registered Dietitian Or Nutrition Professional 6507393337 Reassigns benefits to 1 organization
I20260609001049 FL Practitioner - Registered Dietitian Or Nutrition Professional 6507393337 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

4205 Belfort Rd
Suite 4015
Jacksonville, FL 32216-1464

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
86416063COMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Denver Indian Health and Family Services Inc. CurrentSince Jan 13, 2025 Accepting new patients

Locations

2880 W Holden Pl
Denver, CO 80204
Phone (303) 953-6600

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GCDFAD

Organizations & group practices 2

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": "1695600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737504000000",
    "number": "1043099617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1420 RENAISSANCE DR APT R308",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805037064",
            "telephone_number": "720-378-0053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 RENAISSANCE DR APT R308",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805037064",
            "telephone_number": "720-378-0053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRUNGE",
        "first_name": "SWAPNAJA",
        "middle_name": "B",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-25",
        "last_updated": "2025-01-22",
        "certification_date": "2025-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "CO",
            "license": "86416063",
            "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 Jan 22, 2025; 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.