Daily Dietetics, LLC

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

License

961152 Issued in CO

Legal business name

DAILY DIETETICS, LLC

Practice address

1732 Grand Overlook St
Colorado Springs, CO 80910-4490

Phone

(804) 815-4269

NPI assigned

Dec 1, 2015

Organization subpart

Yes

Parent organization

DAILY DIETETICS, LLCAs reported in NPPES

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

Authorized official

Name

Mrs. Angela Waliszewski, MS, LDN

Title

Registered Dietitian

Phone

(804) 815-4269

Specialties & licenses 1

Addresses

Other identifiers 1

Part of

Daily Dietetics LLC

Locations

Practitioners 2

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

• Rachel Lightfoot, RD

  • Pediatric Nutrition Registered Dietitian
  • Colorado Springs, CO
  • NPI 1336620988

  Multi-Specialty

  NPD (past)
• Jessie Mae Sullivan, RD

  • Registered Dietitian
  • Colorado Springs, CO
  • NPI 1225396575
  NPD (past)

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

{
    "created_epoch": "1448928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1448928000000",
    "number": "1083089197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1732 GRAND OVERLOOK ST",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809104490",
            "telephone_number": "804-815-4269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1732 GRAND OVERLOOK ST",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809104490",
            "telephone_number": "804-815-4269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAILY DIETETICS, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DAILY DIETETICS, LLC",
        "enumeration_date": "2015-12-01",
        "last_updated": "2015-12-01",
        "status": "A",
        "authorized_official_last_name": "WALISZEWSKI",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "REGISTERED DIETITIAN",
        "authorized_official_telephone_number": "804-815-4269",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MS, LDN"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "CO",
            "license": "961152",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1861775389",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Morgan Dahms, PA-C
• Samantha Dahnke
• Danielle Daigle-Chavez
• James Dailey
• Sandra K Dailey
• Brian Edward Daily, LMT
• Ashley Daitol
• Clorinda Dake, MFTC
• Lauren Dakters
• Christine Dalbec

• Preferred Provider Organization in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Preferred Provider Organization in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2015; 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.