Jennifer Bolton, RDN, IBCLC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

0893849 Issued in CO

Practice address

11983 Song Bird Hills St
Parker, CO 80138-8687

Phone

(303) 437-6961

NPI assigned

Jan 8, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Dr. Jennifer Powell Bolton Professional name

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Specialty

Registered Dietitian Or Nutrition Professional

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Altitude Sport and Performance Nutrition, LLCGroup PAC ID 7911345905, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Altitude Sport & Performance Nutrition, LLC

  • Registered Dietitian
  • Parker, CO
  • NPI 1346001617

  Dietitian, Registered

  Medicare reassignment Care Compare group NPD
• Wellness Project 365

  • Obesity and Weight Management Nutrition Registered Dietitian
  • Parker, CO
  • NPI 1891590493

  Lactation Consultant, Non-RN

  NPD Authorized official
• Medical Nutrition Therapy Associates of Colorado

  • Pediatric Nutrition Registered Dietitian
  • Parker, CO
  • NPI 1760278022

  Dietitian, Registered

  NPD

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

{
    "created_epoch": "1704672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704672000000",
    "number": "1255101440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11983 SONG BIRD HILLS ST",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801388687",
            "telephone_number": "303-437-6961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11983 SONG BIRD HILLS ST",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801388687",
            "telephone_number": "303-437-6961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLTON",
        "first_name": "JENNIFER",
        "credential": "RDN, IBCLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-01-08",
        "last_updated": "2024-01-08",
        "certification_date": "2024-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174N00000X",
            "taxonomy_group": "",
            "desc": "Lactation Consultant, Non-RN",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "CO",
            "license": "0893849",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "BOLTON",
            "middle_name": "POWELL",
            "prefix": "DR.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Kristin Nicole Blum, M.A., CCC-SLP
• Brittany Boehnke, PT, DPT
• Maleeka Bokhari, OD
• Bold Steps
• Kristin Dianne Bolte, APN
• Lauren Bontempo, MS, LPC
• Robert Alan Boraz, D.D.S.
• Kenneth James Bos, PTA
• Brynn Bosstick
• Bouquet Family Medicine

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.