Laura Lea Anderson, MS, RD, CSSD
Individual provider Active NPI Registered Dietitian · Boulder, CO
NPI 1194900233 · NPPES record last updated Mar 1, 2024
Key facts
- NPI
- 1194900233
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- License
- 956752 (CO)
- Practice address
- 585 Pika Rd
Boulder, CO 80302-9518 - Phone
- (970) 214-8905
- NPI assigned
- Jan 8, 2008
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 956752 | CO | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fay Nutrition | Dietitian, Registered | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 956752 | CO | Yes |
| Registered Dietitian | 133V00000X | TX |
Addresses
Primary practice location
585 Pika Rd
Boulder, CO 80302-9518
Mailing address
585 Pika Rd
Boulder, CO 80302-9518
Phone (970) 214-8905
Other providers in Boulder, CO
- Janet Louise Anderson
- Kaitlyn Anderson
- Karen Anderson
- Kelley Anderson
- Kirsten Anderson
- Lynette Anderson
- Maria T Anderson
- Melinda C Anderson
- Nelson Anderson
- Sarah Anderson
All providers in Boulder, CO · Registered Dietitian in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 1, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.