Kathleen Peralta

Primary specialty

Metabolic Nutrition Registered DietitianTaxonomy code 133VN1006X

License

13069 Issued in CO

Practice address

4547 W 37TH Ave Unit 1
Denver, CO 80212-2387

Phone

(303) 433-2000

NPI assigned

Apr 10, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Kathleen M Decker Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: kathleenperalta@tdh.allscriptsdirect.net

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Teladoc Health Medical Group, P.a.

  • Family Medicine Physician
  • Lewisville, TX
  • NPI 1245403567
  NPD

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

{
    "created_epoch": "1207785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207785600000",
    "number": "1043483993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4547 W 37TH AVE UNIT 1",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802122387",
            "telephone_number": "303-433-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4547 W 37TH AVE UNIT 1",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802122387",
            "telephone_number": "303-433-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERALTA",
        "first_name": "KATHLEEN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-04-10",
        "last_updated": "2008-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133VN1006X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Metabolic",
            "state": "CO",
            "license": "13069",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHLEEN",
            "last_name": "DECKER",
            "middle_name": "M",
            "credential": "RD CDE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Stacey Per, L.C.S.W.
• Christine Michele Perak, RN BSN/IBCLC
• Mladen Perak, MD
• Chelsea Peralta
• Elizabeth Peralta, BSN RN
• Susana Peralta, DO
• Diana Nicole Peraza Acevedo, PA-C
• Jennifer Rose Peraza, PSY.D.
• Alison Percowycz, NP
• Malena E Perdomo, RDN, CDE

• Metabolic Nutrition Registered Dietitian in Denver, CO
• Providers in Denver, CO by specialty
• Metabolic Nutrition Registered Dietitian in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2008; 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.