Miramont Central Inc.

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

1040780 Issued in TX

Legal business name

MIRAMONT CENTRAL INC.

Doing business as

Miramont Lifestyle Fitness

Practice address

2211 S College Ave
Suite 300
Fort Collins, CO 80525-1489

Phone

(970) 225-2233

Fax

(970) 472-0265

NPI assigned

Jun 6, 2013

Organization subpart

No

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

Authorized official

Name

Mrs. Brooke Elizabeth Floerke, R.D.

Title

Registered Dietitian

Phone

(806) 786-9290

Specialties & licenses 1

Addresses

Other names 1

• Miramont Lifestyle Fitness Doing business as

Locations

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

{
    "created_epoch": "1370476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370476800000",
    "number": "1235577768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2211 S COLLEGE AVE",
            "address_2": "SUITE 300",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805251489",
            "telephone_number": "970-225-2233",
            "fax_number": "970-472-0265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2211 S COLLEGE AVE",
            "address_2": "SUITE 300",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805251489",
            "telephone_number": "970-225-2233",
            "fax_number": "970-472-0265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIRAMONT CENTRAL INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-06",
        "last_updated": "2013-06-06",
        "status": "A",
        "authorized_official_last_name": "FLOERKE",
        "authorized_official_first_name": "BROOKE",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "REGISTERED DIETITIAN",
        "authorized_official_telephone_number": "806-786-9290",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "R.D."
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": "TX",
            "license": "1040780",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Miramont Lifestyle Fitness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Minds Matter Mental Health LLC
• Mindset Reps, LLC
• Mindworks Wellness
• Lydia Grace Minnery
• Miranda Minton, BSW
• Michelle Miranda, PMHNP
• Edward Miron, M.D.
• Bruce Donald Misare, MD, RPH
• Dilaawar J. Mistry, M.D.
• Kelly Elizabeth Mistry, M.D.

• Registered Dietitian in Fort Collins, CO
• Providers in Fort Collins, CO by specialty
• Registered Dietitian in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 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.