Active NPI
Andrea L Stark
- Registered Dietitian
- Golden, CO
National Provider Identifier
1124965850
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Practice address
- 732 Ridgeside Dr
Golden, CO 80401-5758 - Phone
- (805) 551-9699
- NPI assigned
- Apr 30, 2026
- Sex
- Unspecified or another gender identity
- 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 | CO | Primary |
Addresses
Primary practice location
732 Ridgeside Dr
Golden, CO 80401-5758
Mailing address
732 Ridgeside Dr
Golden, CO 80401-5758
Phone (952) 807-4382
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1777507200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1777507200000",
"number": "1124965850",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "732 RIDGESIDE DR",
"city": "GOLDEN",
"state": "CO",
"postal_code": "804015758",
"telephone_number": "952-807-4382"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "732 RIDGESIDE DR",
"city": "GOLDEN",
"state": "CO",
"postal_code": "804015758",
"telephone_number": "805-551-9699"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STARK",
"first_name": "ANDREA",
"middle_name": "L",
"sole_proprietor": "YES",
"sex": "X",
"enumeration_date": "2026-04-30",
"last_updated": "2026-04-30",
"certification_date": "2026-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "CO",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Golden, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.