NPIMap

Organization Active NPI

Advanced Nutrition Concepts

  • Registered Dietitian
  • Morrison, CO
National Provider Identifier
1083060305
Registry record updated May 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
00803604 Issued in CO
Legal business name
ADVANCED NUTRITION CONCEPTS
Practice address
8257 S Summit Dr
Morrison, CO 80465-2431
Phone
(720) 490-9649
NPI assigned
May 5, 2016
Last updated
May 5, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2016

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

Authorized official

Name
Susan K Drake, RDNPI 1841970795
Title
Registered Dietitian
Phone
(720) 490-9649

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 00803604 CO Primary

Addresses

Primary practice location

8257 S Summit Dr
Morrison, CO 80465-2431

Mailing address

8257 S Summit Dr
Morrison, CO 80465-2431
Phone (720) 490-9649

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1462406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462406400000",
    "number": "1083060305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8257 S SUMMIT DR",
            "city": "MORRISON",
            "state": "CO",
            "postal_code": "804652431",
            "telephone_number": "720-490-9649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8257 S SUMMIT DR",
            "city": "MORRISON",
            "state": "CO",
            "postal_code": "804652431",
            "telephone_number": "720-490-9649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED NUTRITION CONCEPTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-05",
        "last_updated": "2016-05-05",
        "status": "A",
        "authorized_official_last_name": "DRAKE",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "REGISTERED DIETITIAN",
        "authorized_official_telephone_number": "720-490-9649",
        "authorized_official_credential": "RD"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "CO",
            "license": "00803604",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morrison, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2016; 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.