Healthy Gut, LLC

Primary specialty

Nutrition Education NutritionistTaxonomy code 133NN1002X

Legal business name

HEALTHY GUT, LLC

Practice address

3924 Divot CT
Longmont, CO 80503-8302

Phone

(888) 612-5997

NPI assigned

Jun 24, 2024

Organization subpart

No

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

Authorized official

Name

Steven Wright, FNP

Title

Founder

Phone

(888) 612-5997

Specialties & licenses 1

Addresses

Other names 1

• Healthy Gut Doing business as

Locations

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

{
    "created_epoch": "1719187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719187200000",
    "number": "1053155168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3980 BROADWAY ST # 103-166",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803041133",
            "telephone_number": "888-612-5997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3924 DIVOT CT",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805038302",
            "telephone_number": "888-612-5997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHY GUT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-24",
        "last_updated": "2024-06-24",
        "certification_date": "2024-06-23",
        "status": "A",
        "authorized_official_last_name": "WRIGHT",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "888-612-5997",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "133NN1002X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nutritionist, Nutrition, Education",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Healthy Gut",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2024; 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.