NPIMap

Organization Active NPI

Essential Nutrition LLC

  • Clinic/Center
  • Boulder, CO
National Provider Identifier
1104043553
Registry record updated Oct 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
838488 Issued in CO
Legal business name
ESSENTIAL NUTRITION LLC
Practice address
4410 Arapahoe Ave
Suite 110
Boulder, CO 80303-1135
Phone
(720) 315-0051
Fax
(720) 306-4644
NPI assigned
Apr 19, 2007
Organization subpart
Yes
Parent organization
ESSENTIAL NUTRITION LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 10, 2025

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

Authorized official

Name
Ms. Lisa Marie Lanzano, MS, RDNNPI 1750488540
Title
Managing Member
Phone
(720) 284-1581

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193200000X MULTI-SPECIALTY GROUP 133V00000X
Clinic/Center 261Q00000X 838488 CO Primary

Addresses

Primary practice location

4410 Arapahoe Ave
Suite 110
Boulder, CO 80303-1135

Mailing address

823 W. Mulberry St.
Louisville, CO 80027
Phone (720) 284-1581

National Provider Directory

National Provider Directory
Part of
Essential Nutrition LLC

Locations

4410 Arapahoe Ave
Ste 110
Boulder, CO 80303
Phone (720) 315-0051

4730 Walnut St
Ste 212
Boulder, CO 80301
Phone (303) 447-2008

75 Manhattan Dr
Ste 206
Boulder, CO 80303
Phone (720) 802-6925

2949 Federal Blvd
Ste 202
Denver, CO 80211
Phone (720) 298-8944

Practitioners & affiliated clinicians

Practitioners 7

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": "1176940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760054400000",
    "number": "1104043553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "823 W. MULBERRY ST.",
            "city": "LOUISVILLE",
            "state": "CO",
            "postal_code": "80027",
            "telephone_number": "720-284-1581",
            "fax_number": "720-306-4644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4410 ARAPAHOE AVE",
            "address_2": "SUITE 110",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803031135",
            "telephone_number": "720-315-0051",
            "fax_number": "720-306-4644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESSENTIAL NUTRITION LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ESSENTIAL NUTRITION LLC",
        "enumeration_date": "2007-04-19",
        "last_updated": "2025-10-10",
        "certification_date": "2025-10-10",
        "status": "A",
        "authorized_official_last_name": "LANZANO",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "720-284-1581",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MS, RDN"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "CO",
            "license": "838488",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boulder, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2025; 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.