Active NPI
Madison Tuggle, RDN
- Registered Dietitian
- Wheat Ridge, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 86072561
- Practice address
- 3455 Lutheran Pkwy Ste 220
Wheat Ridge, CO 80033-6029 - Phone
- (303) 403-3030
- NPI assigned
- Jul 7, 2022
- Sex
- Female
- Sole proprietor
- No
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 | 86072561 | CO | Primary |
Addresses
Primary practice location
3455 Lutheran Pkwy Ste 220
Wheat Ridge, CO 80033-6029
Mailing address
10301 W 12TH Ave
Lakewood, CO 80215-4504
Phone (303) 815-0985
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 86072561 | CO | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Intermountain Medical Group Denver, LLC | Current | Accepting new patients | |
| Intermountain Medical Group Denver, LLC | Current | Accepting new patients | |
| Intermountain Medical Group Denver, LLC | Current | Accepting new patients |
Locations
500 Eldorado Blvd
Ste 4300
Broomfield, CO 80021
12905 W 40th Ave
Ste 405
Golden, CO 80401
Phone (303) 265-5740
3455 Lutheran Pkwy
Ste 220
Wheat Ridge, CO 80033
Phone (303) 403-3030
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Denver, CO
- NPI 1083021083
-
dba Orthopedic Centers of Colorado - Saint Joseph
- Sports Medicine (Orthopaedic Surgery) Physician
- Denver, CO
- NPI 1083598874
-
dba SCL Health Medical Group - Lutheran Family Practice
- Family Medicine Physician
- Wheat Ridge, CO
- NPI 1154967719
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1657152000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1657152000000",
"number": "1124751151",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10301 W 12TH AVE",
"city": "LAKEWOOD",
"state": "CO",
"postal_code": "802154504",
"telephone_number": "303-815-0985"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3455 LUTHERAN PKWY STE 220",
"city": "WHEAT RIDGE",
"state": "CO",
"postal_code": "800336029",
"telephone_number": "303-403-3030"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TUGGLE",
"first_name": "MADISON",
"credential": "RDN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-07-07",
"last_updated": "2022-07-07",
"certification_date": "2022-07-05",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "CO",
"license": "86072561",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wheat Ridge, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2022; 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.