Active NPI
Fatima Pina, R.D.,L.D.
- Registered Dietitian
- Trinidad, CO
National Provider Identifier
1124352620
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 1631
- Practice address
- 410 Benedicta Ave
Trinidad, CO 81082-2005 - Phone
- (719) 846-9213
- NPI assigned
- Sep 30, 2009
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 1631 | OK | Primary |
Addresses
Primary practice location
410 Benedicta Ave
Trinidad, CO 81082-2005
Mailing address
410 Benedicta Ave
Trinidad, CO 81082-2005
Phone (719) 846-9213
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)
- Enrolled
Interoperability endpoints
- fatima.pina.p1@direct.toiyabe.nextgenshare.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1254268800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1375920000000",
"number": "1124352620",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "410 BENEDICTA AVE",
"city": "TRINIDAD",
"state": "CO",
"postal_code": "810822005",
"telephone_number": "719-846-9213"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "410 BENEDICTA AVE",
"city": "TRINIDAD",
"state": "CO",
"postal_code": "810822005",
"telephone_number": "719-846-9213"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PINA",
"first_name": "FATIMA",
"name_prefix": "Ms.",
"credential": "R.D.,L.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-09-30",
"last_updated": "2013-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "OK",
"license": "1631",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Trinidad, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.