Summit Peak Nutrition Services LLC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Legal business name

SUMMIT PEAK NUTRITION SERVICES LLC

Practice address

2505 Big Bear Cir
Sedalia, CO 80135-4433

Phone

(720) 459-0913

NPI assigned

Sep 27, 2017

Last updated

Sep 27, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Stephanie Thomson, MS, RDNNPI 1982125522

Title

Registered Dietitian/Owner

Phone

(720) 459-0913

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Stephanie Thomson, MS,RDN

  • Registered Dietitian
  • Sedalia, CO
  • NPI 1982125522

  Dietitian, Registered

  NPD Authorized official

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

{
    "created_epoch": "1506470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1506470400000",
    "number": "1235648775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 732",
            "city": "SEDALIA",
            "state": "CO",
            "postal_code": "801350732",
            "telephone_number": "720-459-0913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2505 BIG BEAR CIR",
            "city": "SEDALIA",
            "state": "CO",
            "postal_code": "801354433",
            "telephone_number": "720-459-0913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT PEAK NUTRITION SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-27",
        "last_updated": "2017-09-27",
        "status": "A",
        "authorized_official_last_name": "THOMSON",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "REGISTERED DIETITIAN/OWNER",
        "authorized_official_telephone_number": "720-459-0913",
        "authorized_official_credential": "MS, RDN"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Registered Dietitian in Sedalia, CO
• Providers in Sedalia, CO by specialty
• Registered Dietitian in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2017; 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.