Active NPI
Lorelei K Kalua
- Nutritionist
- Denver, CO
National Provider Identifier
1083178610
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutritionist
- Practice address
- 7100 E Mississippi Ave Apt 21-204
Denver, CO 80224-3181 - Phone
- (720) 471-0925
- NPI assigned
- Jan 28, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutritionist | 133N00000X | 00000 | CO | |
| Nutritionist | 133N00000X | Primary |
Addresses
Primary practice location
7100 E Mississippi Ave Apt 21-204
Denver, CO 80224-3181
Mailing address
7100 E Mississippi Ave Apt 21-204
Denver, CO 80224-3181
Phone (720) 471-0925
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00000 | CO | MD | Clinical Cytogenetics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1548633600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1548633600000",
"number": "1083178610",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7100 E MISSISSIPPI AVE APT 21-204",
"city": "DENVER",
"state": "CO",
"postal_code": "802243181",
"telephone_number": "720-471-0925"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7100 E MISSISSIPPI AVE APT 21-204",
"city": "DENVER",
"state": "CO",
"postal_code": "802243181",
"telephone_number": "720-471-0925"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KALUA",
"first_name": "LORELEI",
"middle_name": "K",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-01-28",
"last_updated": "2019-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "133N00000X",
"taxonomy_group": "",
"desc": "Nutritionist",
"state": "CO",
"license": "00000",
"primary": false
},
{
"code": "133N00000X",
"taxonomy_group": "",
"desc": "Nutritionist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Denver, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.