Organization Active NPI

Holistic Roots Nutrition

  • Nutritionist
  • Denver, CO
National Provider Identifier
1124368964
Registry record updated Feb 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
NutritionistTaxonomy code 133N00000X
Legal business name
HOLISTIC ROOTS NUTRITION
Practice address
964 Madison St
Denver, CO 80206-4052
Phone
(303) 818-0494
NPI assigned
Feb 14, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2013

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

Authorized official

Name
Sara M Kosick, MNT
Title
Nutrition Therapist
Phone
(303) 818-0494

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
NutritionistGroup: 193400000X SINGLE SPECIALTY GROUP 133N00000X Primary

Addresses

Primary practice location

964 Madison St
Denver, CO 80206-4052

Mailing address

964 Madison St
Denver, CO 80206-4052
Phone (303) 818-0494

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1360800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360800000000",
    "number": "1124368964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "964 MADISON ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802064052",
            "telephone_number": "303-818-0494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "964 MADISON ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802064052",
            "telephone_number": "303-818-0494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLISTIC ROOTS NUTRITION",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-14",
        "last_updated": "2013-02-14",
        "status": "A",
        "authorized_official_last_name": "KOSICK",
        "authorized_official_first_name": "SARA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "NUTRITION THERAPIST",
        "authorized_official_telephone_number": "303-818-0494",
        "authorized_official_credential": "MNT"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  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 Feb 14, 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.

Verify at the official NPI Registry.