Active NPI
Theresa A. Kaiser-Griffin, MS, RD
- Registered Dietitian
- Monte Vista, CO
National Provider Identifier
1164617338
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 876903
- Practice address
- 358 Dunham St
Monte Vista, CO 81144-1207 - Phone
- (719) 852-0825
- NPI assigned
- Sep 11, 2007
- Last updated
- Sep 11, 2007
- 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 | 876903 | CO | Primary |
Addresses
Primary practice location
358 Dunham St
Monte Vista, CO 81144-1207
Mailing address
358 Dunham St
Monte Vista, CO 81144-1207
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 876903 | CO | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1189468800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1189468800000",
"number": "1164617338",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "358 DUNHAM ST",
"city": "MONTE VISTA",
"state": "CO",
"postal_code": "811441207"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "358 DUNHAM ST",
"city": "MONTE VISTA",
"state": "CO",
"postal_code": "811441207",
"telephone_number": "719-852-0825"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAISER-GRIFFIN",
"first_name": "THERESA",
"middle_name": "A.",
"name_prefix": "Mrs.",
"credential": "MS, RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-09-11",
"last_updated": "2007-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "CO",
"license": "876903",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Monte Vista, CO
- Guardians of Hope, PLLC
- Joshua Paul Heersink, OD
- Paul William Heersink, O.D.
- David N Hinkley, O.D.
- Juniper Meadows, LP (Juniper Village At Monte Vista)
- Tim L Kynion, PAC
- Ryan James Lopez, PTA
- Luis Alvarez LLC (Western Mountain Youth Services)
- Lutheran Hospital Association of the San Luis Valley (San Luis ValleyHealth Monte Vista Community Clinic)
- Lutheran Hospital Association of the San Luis Valley (SLV Regional Medical Center Physician Services)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.