Organization Active NPI

The Keys to Nutrition, LLC

  • Registered Dietitian
  • Poncha Springs, CO
National Provider Identifier
1083213391
Registry record updated Feb 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Legal business name
THE KEYS TO NUTRITION, LLC
Practice address
420 Alabama Street
Unit B
Poncha Springs, CO 81201
Phone
(305) 330-1933
Fax
(786) 901-8333
NPI assigned
Oct 19, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2025

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

Authorized official

Name
Courtney June Smith, RDNPI 1275167710
Title
Dietitian/Owner
Phone
(305) 330-1933

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 MULTIPLE SINGLE SPECIALTY GROUP 133V00000X Primary

Addresses

Primary practice location

420 Alabama Street
Unit B
Poncha Springs, CO 81201

Mailing address

PO Box 175
Salida, CO 81201-0175
Phone (305) 330-1933

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250307002237 CO Part B Supplier - Clinic/Group Practice 9537575436 Receives reassigned benefits from 1 practitioner
Practice locations: Poncha Springs, CO

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.

NPI Registry JSON

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

{
    "created_epoch": "1603065600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740700800000",
    "number": "1083213391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 175",
            "city": "SALIDA",
            "state": "CO",
            "postal_code": "812010175",
            "telephone_number": "305-330-1933",
            "fax_number": "786-901-8333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 ALABAMA STREET",
            "address_2": "UNIT B",
            "city": "PONCHA SPRINGS",
            "state": "CO",
            "postal_code": "81201",
            "telephone_number": "305-330-1933",
            "fax_number": "786-901-8333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE KEYS TO NUTRITION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-19",
        "last_updated": "2025-02-28",
        "certification_date": "2025-02-25",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "COURTNEY",
        "authorized_official_middle_name": "JUNE",
        "authorized_official_title_or_position": "DIETITIAN/OWNER",
        "authorized_official_telephone_number": "305-330-1933",
        "authorized_official_credential": "RD"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Poncha Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.