NPIMap

Organization Active NPI

Healthful Living LLC

  • Registered Dietitian
  • Longmont, CO
National Provider Identifier
1053464453
Registry record updated May 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
949745 Issued in CO
Legal business name
HEALTHFUL LIVING LLC
Doing business as
Peak Nutrition Works LLC
Practice address
1309 Sunset St
Longmont, CO 80501-3215
Phone
(720) 684-4147
Fax
(303) 651-6781
NPI assigned
Jan 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2014

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

Authorized official

Name
Kelly K. Leonard, MS, RDNPI 1902917529
Title
Clinical Dietitian
Phone
(720) 837-5240

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 133V00000X 949745 CO Primary

Addresses

Primary practice location

1309 Sunset St
Longmont, CO 80501-3215

Mailing address

303 Glenview CT
Longmont, CO 80504-1314
Phone (720) 837-5240

Other names 1

  • Peak Nutrition Works LLC Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400544000000",
    "number": "1053464453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 GLENVIEW CT",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805041314",
            "telephone_number": "720-837-5240",
            "fax_number": "303-772-8207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1309 SUNSET ST",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805013215",
            "telephone_number": "720-684-4147",
            "fax_number": "303-651-6781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHFUL LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-19",
        "last_updated": "2014-05-20",
        "status": "A",
        "authorized_official_last_name": "LEONARD",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "CLINICAL DIETITIAN",
        "authorized_official_telephone_number": "720-837-5240",
        "authorized_official_credential": "MS, RD"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": "CO",
            "license": "949745",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Peak Nutrition Works LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 May 20, 2014; 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.