Individual provider Active NPI

Satya Elijah Williams, R.D. , C.L.C.

  • Registered Dietitian
  • Lakewood, CO
National Provider Identifier
1265810949
Registry record updated May 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
01000368 Issued in CO
Practice address
650 Independence St
Lakewood, CO 80215-5822
Phone
(720) 296-3656
NPI assigned
May 13, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 13, 2015

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Nutritionist 133N00000X 01000368 CO
Registered Dietitian 133V00000X 01000368 CO Primary
Pediatric Nutrition Registered Dietitian 133VN1004X 01000368 CO
Metabolic Nutrition Registered Dietitian 133VN1006X 01000368 CO

Addresses

Primary practice location

650 Independence St
Lakewood, CO 80215-5822

Mailing address

650 Independence St
Lakewood, CO 80215-5822
Phone (720) 296-3656

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
01000368COMDRegistered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1431475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431475200000",
    "number": "1265810949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 INDEPENDENCE ST",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802155822",
            "telephone_number": "720-296-3656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 INDEPENDENCE ST",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802155822",
            "telephone_number": "720-296-3656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "SATYA",
        "middle_name": "ELIJAH",
        "name_prefix": "Mr.",
        "credential": "R.D. , C.L.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-05-13",
        "last_updated": "2015-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "CO",
            "license": "01000368",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "CO",
            "license": "01000368",
            "primary": true
        },
        {
            "code": "133VN1004X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Pediatric",
            "state": "CO",
            "license": "01000368",
            "primary": false
        },
        {
            "code": "133VN1006X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Metabolic",
            "state": "CO",
            "license": "01000368",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2015; 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.